Open Abdominal versus Laparoscopic and Vaginal Hysterectomy: Analysis of a Large United States Payer Measuring Quality and Cost of Care

Warren, L.K.; Ladapo, Joseph A.; Borah, Bijan J.; Gunnarsson, Candace

doi:10.1016/j.jmig.2009.06.018

Cited by 98 publications

(59 citation statements)

References 15 publications

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“…This was slightly more than that of the study by Warren et al, where, the length of the stay was 4 days for abdominal, 1.6 days for laparoscopic and 2.2 days for vaginal hysterectomy. 24 In a study by Malzoni et al, the mean hospital stay for laparoscopic surgeries was around 2.5 days. 25 Major complications were observed in 8.1% of the cases over all and in 3.3% of the laparoscopic cases.…”

Section: Discussionmentioning

confidence: 99%

Comparison of total abdominal, vaginal and total laparoscopic hysterectomy

Reddy

2016

Int Surg J

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Section: Discussionmentioning

confidence: 99%

Comparison of total abdominal, vaginal and total laparoscopic hysterectomy

Reddy

2016

Int Surg J

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“…1,2 Laparoscopic hysterectomy is associated with fewer postoperative complications, less blood loss, less postoperative pain, decreased hospital stay, and faster recovery time when compared with the open abdominal approach. 1,3 Power morcellation is performed during laparoscopic supracervical hysterectomy, laparoscopic myomectomy, and laparoscopic total hysterectomy when the uterus is too large to pass through the vaginal canal. 4 It involves the division of uterine tissue with the use of a rotating circular blade to facilitate removal of the specimen.…”

mentioning

confidence: 99%

Uterine sarcomas and parasitic myomas after laparoscopic hysterectomy with power morcellation

Tan-Kim

Hartzell

Reinsch

et al. 2015

American Journal of Obstetrics and Gynecology

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“…La histerectomía no es la excepción y los resultados de nuestra experiencia con la histerectomía laparoscópica total muestran un nivel alto de satisfacción de las usuarias y una tasa de complicaciones similar a la reportada para este procedimiento en diferentes publicaciones (1,7,8).…”

Section: Discussionunclassified

Histerectomía laparoscópica total: manejo ambulatorio. Experiencia Clínica del Prado, Medellín, Colombia

P²,

et al. 2011

Rev. chil. obstet. ginecol.

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RESUMENObjetivo: Describir los resultados de la histerectomía laparoscópica total ambulatoria. Método: Se analizan 297 pacientes sometidas a histerectomía laparoscópica total y que fueron dadas de alta luego de la recuperación anestésica, entre mayo de 2007 y marzo de 2008. Se requería una puntuación de menos de 5 en la escala visual análoga del dolor para el alta. Resultados: El promedio de edad fue de 42 años, el tiempo quirúrgico de 79,1 minutos, el sangrado estimado fue de 37,1 ml, el tiempo promedio de estancia total fue de 9,4 horas con un tiempo promedio de estancia postoperatoria de 5,4 horas. La tasa de complicaciones postoperatorias fue de 11,8% y la de readmisiones del 3,3%. El promedio de Escala Visual Análoga del dolor para la primera noche fue de 4,2 puntos. El 6% de las pacientes presentaron vómitos en su domicilio. El 99% de las pacientes recomendarían este tipo de manejo. Conclusiones: El manejo ambulatorio después de histerectomía laparoscópica total es posible, seguro y bien evaluado por las pacientes. Este manejo no conlleva un mayor riesgo de complicaciones y la tasa de readmisiones es baja.PALABRAS CLAVE: Histerectomía laparoscópica ambulatoria, complicaciones quirúrgicas, satisfacción de usuaria SUMMARYObjective: To describe the results of a group of patients in which total laparoscopic hysterectomy was done as an outpatient procedure. Methods: We included 297 patients who were undergone to laparoscopic total hysterectomy, and were discharge to their home after recovery of anesthesia from may 2007 to march 2008. It was necessary to have a punctuation less than 5 in the analogue visual scale to be sent at home. Results: Mean age was 42 years, surgical time 79.1 minutes, estimated blood loss 37.1 ml, overall length of stay 9.4 hours, postoperative length of stay 5.4 hours. Postoperative complication rate was 11.8%, readmission rate was 3.3%. Mean VAS Score for pain during the first night was 4.2 points; 6% of patients vomited at home. Mean VAS Score for satisfaction with ambulatory management was 9.5, and 99% of the patients would recommend this type of management. Conclusions: Ambulatory management after total laparoscopic hysterectomy is possible, safe and well evaluated by patients. It does not impose a higher risk of complications and readmission rate is low.KEY WORDS: Outpatient laparoscopic hysterectomy, surgical complication, user satisfaction 395 REV CHIL OBSTET GINECOL 2011; 76(6): 395 -399

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Open Abdominal versus Laparoscopic and Vaginal Hysterectomy: Analysis of a Large United States Payer Measuring Quality and Cost of Care

Cited by 98 publications

References 15 publications

Comparison of total abdominal, vaginal and total laparoscopic hysterectomy

Comparison of total abdominal, vaginal and total laparoscopic hysterectomy

Uterine sarcomas and parasitic myomas after laparoscopic hysterectomy with power morcellation

Histerectomía laparoscópica total: manejo ambulatorio. Experiencia Clínica del Prado, Medellín, Colombia

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