Vaginal and Laparoscopic hysterectomy as an outpatient procedure: A systematic review

Dedden, Suzanne J.; Geomini, Peggy M.A.J.; Huirne, Judith A F; Bongers, Marlies Y.

doi:10.1016/j.ejogrb.2017.07.015

Cited by 69 publications

(68 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This study adds to the body of evidence showing that same‐day hospital discharge after minimally invasive hysterectomy can offer a safe alternative to next‐day hospital discharge …”

Section: Discussionmentioning

confidence: 79%

“…Within the field of gynecology, adherence to ERAS pathways has increased the practice of same‐day hospital discharge after major procedures, including minimally invasive hysterectomy . Although concerns remain among physicians and patients regarding the safety of this approach, the published literature tends to support its safety (and possible superiority) when compared with traditional postoperative hospitalization …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of length of hospital stay on infection and readmission after minimally invasive hysterectomy

Schiff

Voltzke

Strassle

et al. 2019

Intl J Gynecology & Obste

View full text Add to dashboard Cite

Objective To assess the effect of length of hospital stay on postoperative outcomes after minimally invasive hysterectomy. Methods A retrospective cohort analysis was conducted of women who underwent minimally invasive hysterectomy (vaginal or laparoscopic) for benign conditions between January 1, 2014 and December 31, 2016, using the American College of Surgeons National Surgical Quality Improvement Program database. Patient information and 30‐day outcomes were compared using multivariable logistic regression after adjusting for patient demographics and medical and procedure variables. Results The analysis included 31 347 patients. Women discharged the day after surgery were more likely to be African‐American, older, have prior abdominal surgery, and a higher ASA classification. Prevalence of organ space infection and readmissions were lower in the same day discharge group. No differences between same‐ and next‐day discharge were found for surgical site infection or urinary tract infection (adjusted odds ratios (aORs) 0.83 (95% [CI] 0.65–1.07; P=0.156) and 0.85 (95% CI 0.68–1.06; P=0.151), respectively). Same‐day hospital discharge was associated with a reduced chance of readmission (aOR=0.68, 95% CI 0.54–0.87; P=0.002). Conclusion Same‐day hospital discharge after minimally invasive hysterectomy lowered the risk of readmission and did not increase the risk of postoperative complications.

show abstract

“…This study adds to the body of evidence showing that same‐day hospital discharge after minimally invasive hysterectomy can offer a safe alternative to next‐day hospital discharge …”

Section: Discussionmentioning

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Effect of length of hospital stay on infection and readmission after minimally invasive hysterectomy

Schiff

Voltzke

Strassle

et al. 2019

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

“…Typical length for use of opioid rescue drugs is approximately 4 days in a recent US study 6. Laparoscopic hysterectomies are increasingly performed as ambulatory procedures,78 emphasizing the need for standardized pain management on discharge. In this light, continuous or invasive methods such as epidural analgesia and intravenous opioid PCA may not be suited for prospective ambulatory patients and should be regarded reserve interventions.…”

Section: Discussionmentioning

confidence: 99%

Pain management after laparoscopic hysterectomy: systematic review of literature and PROSPECT recommendations

Lirk

Thiry

Bonnet

et al. 2019

Regional Anesthesia &Amp; Pain Medicine

View full text Add to dashboard Cite

Background and objectivesLaparoscopic hysterectomy is increasingly performed because it is associated with less postoperative pain and earlier recovery as compared with open abdominal hysterectomy. The aim of this systematic review was to evaluate the available literature regarding the management of pain after laparoscopic hysterectomy.Strategy and selection criteriaRandomized controlled trials evaluating postoperative pain after laparoscopic hysterectomy published between January 1996 and May 2018 were retrieved, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, from the EMBASE and MEDLINE databases and the Cochrane Register of Controlled Trials. Efficacy and adverse effects of analgesic techniques were assessed.ResultsOf the 281 studies initially identified, 56 were included. Of these, 31 assessed analgesic or anesthetic interventions and 25 assessed surgical interventions. Acetaminophen, non-steroidal anti-inflammatory drugs, and dexamethasone reduced opioid consumption. Limited evidence hindered recommendations on alpha-2-agonists. Inconsistent evidence was found in the studies investigating pregabalin and transversus abdominis plane block, and no evidence was found for intraperitoneal local anesthetics, port site infiltration, or single-port laparoscopy. Measures to lower peritoneal insufflation pressure or humidify or heat insufflated gas seem to reduce the incidence of shoulder pain, but not abdominal pain.ConclusionsThe baseline analgesic regimen for laparoscopic hysterectomy should include acetaminophen, a non-steroidal anti-inflammatory drug, dexamethasone, and opioids as rescue analgesics.

show abstract

“…En esta revisión no se evidenciaron diferencias entre la HL y la HV (1,440 mujeres y 16 estudios) (6). Por otra parte, Dedden, en una revisión sistemática de estudios de cohorte prospectivos y retrospectivos, informa una frecuencia de reingreso del 4 %, una frecuencia de complicaciones menores que varió entre el 4,3 y 7,3 %, y complicaciones mayores entre el 0,7 y 3,6 % en estudios prospectivos y retrospectivos respectivamente (7). Por otra parte, se ha informado una frecuencia de complicaciones menores del 3,3 % y una frecuencia de transfusión intraoperatoria del 16 % (8).…”

Section: Introductionunclassified

Seguridad de la histerectomía total por laparoscopia entre el 2007 y 2017 en un hospital de alta complejidad, Pereira, Colombia. estudio de cohorte

Bastidas-Guarín¹,

Zambrano-Moncayo²,

López-Isanoa³

et al. 2020

Rev. Colomb. Obstet. Ginecol.

View full text Add to dashboard Cite

Objetivo: objetivo describir las complicaciones intra y posoperatorias de la histerectomía total por laparoscopia (HTL) para patología benigna del útero y hacer una comparación con otros hospitales que tienen altos volúmenes de HTL. Materiales y métodos: estudio de cohorte retrospectivo en mujeres que se sometieron a HTL por patología ginecológica benigna entre 2007 y 2017 en una institución privada de mediana complejidad, que atiende población perteneciente al régimen contributivo y subsidiado por el Estado en el Sistema General de Seguridad Social, en Pereira, Colombia, por el grupo de cirujanos del centro de entrenamiento ALGIA. Muestreo consecutivo. Se describen la características sociodemográficas y clínicas basales, los hallazgos intraoperatorios y las complicaciones intra y posoperatorias. Se usó estadística descriptiva. Resultados: en el periodo de estudio se incluyeron 1.350 pacientes. El tiempo quirúrgico fue de 95 min (DE ± 31), el sangrado quirúrgico 88 cc (DE ± 66), el peso promedio del útero fue de 236 g (DE ± 133). El 96,5% de las pacientes fueron evaluadas entre los 30 y 45 días. El 3,48% de las pacientes tuvieron complicaciones menores y el 2,5% complicaciones mayores. Tres pacientes requirieron conversión a laparotomía (0,23%). No hubo mortalidad en la muestra estudiada. Conclusión: la HTL es un procedimiento seguro y la tasa de complicaciones es similar a la de los mejores estándares internacionales. Es importante que se sigan haciendo estudios prospectivos con criterios objetivos de evaluación para comparar el desempeño de los diferentes grupos e instituciones que ofrecen procedimientos quirúrgicos y entrenamiento.

show abstract

Vaginal and Laparoscopic hysterectomy as an outpatient procedure: A systematic review

Cited by 69 publications

References 52 publications

Effect of length of hospital stay on infection and readmission after minimally invasive hysterectomy

Effect of length of hospital stay on infection and readmission after minimally invasive hysterectomy

Pain management after laparoscopic hysterectomy: systematic review of literature and PROSPECT recommendations

Seguridad de la histerectomía total por laparoscopia entre el 2007 y 2017 en un hospital de alta complejidad, Pereira, Colombia. estudio de cohorte

Contact Info

Product

Resources

About