Outpatient total laparoscopic hysterectomy

Study Objective. To assess the safety of and patient satisfaction with total laparoscopic hysterectomy as an outpatient procedure. Design. Retrospective case study (Canadian Task Force classification III). Setting. Tertiary care hospital. Patients. Sixty-six consecutive women. Intervention. Outpatient total laparoscopic hysterectomy. Measurements and Main Results. Of 66 procedures completed, 6 patients (7.5%) required overnight hospitalization, with 4 of them discharged the next day. Seven (11 %) minor postoperative complications occurred. One patient required hospitalization to receive intravenous antibiotics and one for drainage of a cuff hematoma. There were three (4.5%) minor intraoperative complications. One woman developed Clostridium difficile diarrhea as well as deep vein thrombosis and pulmonary embolus. Sixty-three women (95%) were satisfied with the procedure and would recommend it to others. Conclusion. Outpatient total laparoscopic hysterectomy is well tolerated, safe, and cost effective.