Outpatient laparoscopic supracervical hysterectomy with assistance of the lap loop

STUDY OBJECTIVE: To elucidate the safety and patient satisfaction with laparoscopic supracervical hysterectomy (LSH) performed in an outpatient setting. DESIGN: Prospective case study (Canadian Task Force classification II-2). SETTING: Public hospital. PATIENTS: Forty-three women. INTERVENTION: Outpatient LSH performed by lap-loop. MEASUREMENTS AND MAIN RESULTS: The procedure was recommened by 41 out of 43 patients. Three patients (7%) were admitted to the hospital due to complications after the surgery. One patient was admitted because of a vasovagl reaction after anesthesia; she recovered quickly and was discharged after a few hours of observation. One patient was admitted because of postoperative pain and discharged the next day; site had a prolonged postoperative recovery with pain and subfebrile temperature. One patient underwent laparotomy due to major intraabdominal bleeding. Postoperative complications occurred in another five patients (12%) without need for hospitalization (infected intra-abdominal hematoma, urine retention, cystitis, cystitis combined with wound infection, and pneumonia). CONCLUSION: Laparoscopic supracervical hysterectomy as an outpatient procedure is a safe and highly acceptable treatment. (c) 2005 AAGL. All rights reserved.