Feasibility of sacrocolpopexy by outpatient laparoscopic surgery

Keller, Vicki; Rambeaud, C.; Binelli, Christophe; Gombaud, G.; Agostini, Aubert; Villefranque, Vincent

doi:10.1016/j.jogoh.2017.10.003

Cited by 9 publications

(6 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous studies have demonstrated feasibility and comparable success rates for SDD following apical repair procedures, including vaginal hysterectomy with apical repair (96%) and laparoscopic sacrocolpopexy (89.1%). 11,13,25 Interestingly, the 5 admitted patients who preferred to stay overnight in the hospital had reported a preference to stay overnight regardless of a pandemic. A pilot study by Stovall et al assessing the feasibility of outpatient vaginal hysterectomy found similar results.…”

Section: Discussionmentioning

confidence: 99%

“…Although sometimes unavoidable, scheduling delays can result in SDD failure outside of medical needs or home support. 25 This could include delays in scheduled surgeries, interruptions with emergency procedures resulting in delayed room turnover, failure to coordinate with preoperative team, or requiring spinal anesthesia for patients with known severe nausea or vomiting with general anesthesia.…”

Section: Discussionmentioning

confidence: 99%

“…Although the safety and feasibility of SDD following minimally invasive apical POP repair surgery has been established, to our knowledge this is the first study conducted at a tertiary care center that assessed patient satisfaction and preference for SDD both in the context and absence of a pandemic, as well as pain control satisfaction following SDD. 5,6,11,13–16,25,30 Strengths of our study include using validated questionnaires to measure postoperative satisfaction and the prospective design which allowed for a followup rate of 94.4%.…”

Section: Discussionmentioning

confidence: 99%

“…28 Another study that assessed the feasibility of SDD following sacrocolpopexy supported this with a SDD success rate of 89.1% and average length of procedure to be 101AE30 minutes, which is relatively short compared to a meta-analysis that showed the surgery time to be 214AE58 minutes. 25,29 By virtue of their training, FPMRS surgeons and urogynecologists may perform apical repair procedures in less time, positively contributing to the SDD success rate. 28 Secondly, the study population may have had fewer comorbidities due to the elective nature of the procedures that would limit the number of admissions and readmissions following the procedure.…”

Section: No (%)mentioning

confidence: 99%

See 3 more Smart Citations

Patient Perspectives toward Undergoing Same-Day Discharge for Apical Pelvic Organ Prolapse Repair Surgery during the COVID-19 Pandemic

et al. 2022

View full text Add to dashboard Cite

Introduction:To ensure patient satisfaction during the COVID-19 pandemic, hospitals implemented changes to elective surgeries while upholding safety and quality of care. This includes a growing trend toward same-day discharge (SDD) following apical pelvic organ prolapse (POP) repair surgery, which previously involved overnight hospitalization for some institutions. We assessed patient perspectives following SDD after transvaginal and minimally invasive apical POP repair during the pandemic.Methods:This was a cross-sectional study of women who underwent apical POP surgery. Preoperatively, we assessed preference for SDD. A postoperative survey evaluated perceived safety, pain control and satisfaction using the “Core questionnaire for the assessment of Patient Satisfaction for general Day-care” and the “Patient Global Impression of Improvement.” Postoperative complications were identified.Results:Of 36 recruited patients, 83.3% preferred SDD preoperatively. When rating the influence of COVID-19 on their preference (1–10, 10=high), 13 reported level 10 and 11 reported level 1 (mean 5.9±4.0). A total of 34 postoperative surveys were collected, 29 of which were SDD (85.3%); 89.7% of patients reported feeling safer with SDD, and 40% (2/5) of admitted patients would have preferred SDD. Pain control satisfaction for SDD was assessed on a Likert scale (1–10, 10=very satisfied), with a mean of 9.1 (±1.8); 82.8% of SDD patients rated their overall experience as “very satisfied” and consistently rated individual components highly.Conclusions:During the pandemic, our patient population preferred SDD after an apical POP repair with a high success and satisfaction rate with minimal complications. In the absence of a pandemic, SDD should be considered to increase patient satisfaction.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: No (%)mentioning

confidence: 99%

See 2 more Smart Citations

Patient Perspectives toward Undergoing Same-Day Discharge for Apical Pelvic Organ Prolapse Repair Surgery during the COVID-19 Pandemic

et al. 2022

View full text Add to dashboard Cite

show abstract

“…A questionnaire was designed from questionnaires already used in similar studies to assess patient satisfaction and collect data [14,15]. The survey consisted of six questions common to both groups (Appendix 1), using non-medical language.…”

Section: Data Collectionmentioning

confidence: 99%