Clinical outcomes after fast-track care in women undergoing laparoscopic hysterectomy

Lucas Minig, Linus Chuang, Maria Guadalupe Patrono, María Fernandez-Chereguini, Jose M. Cárdenas-Rebollo, Roberto Biffi

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Objective: To evaluate the feasibility and safety of multimodal perioperative care after laparoscopic hysterectomy. Methods: A prospective observational study was performed at Clara Campal Comprehensive Cancer Center, Madrid, Spain, between April 1, 2011, and July 30, 2014, and included women who were scheduled to undergo a laparoscopic hysterectomy. Fast-track (multimodal) care included provision of full preoperative verbal and written information, intravenous dexamethasone (8. mg) during surgery, removal of the urinary catheter at the end of surgery, and early mobilization and solid food intake. The main outcome was the length of hospital stay. Results: Overall, 88 patients were included. The median hospital stay was 22.7. hours (range 5-72). Same-day discharge was feasible in 24 (27%) patients. A total of 51 (58%) women were discharged after overnight stay, 46 (90%) of whom elected to do so because of personal preference. Finally, 13 (15%) patients were discharged at least 36. hours after surgery. Eleven (13%) women visited the emergency unit after discharge and 3 (3%) were readmitted. Conclusion: The perioperative multimodal recovery program is safe and feasible in a selected group of women after an elective laparoscopic hysterectomy.

Original languageEnglish
JournalInternational Journal of Gynecology and Obstetrics
DOIs
Publication statusAccepted/In press - Jan 6 2015

Fingerprint

Hysterectomy
Length of Stay
Perioperative Care
Early Ambulation
Urinary Catheters
Spain
Dexamethasone
Observational Studies
Hospital Emergency Service
Eating
Prospective Studies
Safety
Neoplasms

Keywords

  • Fast-track care
  • Hospitalization time
  • Laparoscopic hysterectomy
  • Multimodal care
  • Perioperative care
  • Postoperative complications
  • Safety

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Clinical outcomes after fast-track care in women undergoing laparoscopic hysterectomy. / Minig, Lucas; Chuang, Linus; Patrono, Maria Guadalupe; Fernandez-Chereguini, María; Cárdenas-Rebollo, Jose M.; Biffi, Roberto.

In: International Journal of Gynecology and Obstetrics, 06.01.2015.

Research output: Contribution to journalArticle

Minig, Lucas ; Chuang, Linus ; Patrono, Maria Guadalupe ; Fernandez-Chereguini, María ; Cárdenas-Rebollo, Jose M. ; Biffi, Roberto. / Clinical outcomes after fast-track care in women undergoing laparoscopic hysterectomy. In: International Journal of Gynecology and Obstetrics. 2015.
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