Low XXXX score after total laparoscopic hysterectomy and same-day discharge within less than 5 hours: results of a prospective observational study.

@entity1 @entity282 @entity158
OBJECTIVE: To present a descriptive study on same-day discharge after total laparoscopic hysterectomy (TLH), documenting the effectiveness of our pre- and postoperative protocol, and surgical technique for minimizing @entity282 scores in case of uterine volume equivalent to < 14 weeks of gestation. DESIGN: Prospective observational study. SETTING: University hospital. POPULATION: One hundred and five @entity1 undergoing TLH, with same-day discharge. METHODS: Anesthesia and surgery were performed using the same protocol in all @entity1 . MAIN OUTCOME MEASURES: Primary endpoints evaluated @entity158 scores using visual analog scale (VAS). Secondary endpoints included duration of surgery, operating room occupancy, time until discharge, overnight hospitalization, complication rate, readmission rate and @entity1 satisfaction. RESULTS: 100% of @entity1 were able to return home within 4.9  1.4 hours of surgery. One hour after surgery, the VAS score was <4 (3.5  2.6), dropping to <2 4 hours after surgery (1.9  1.2) and remaining so throughout day one (1.8  1.4). VAS scores at 4 hours, evening and day one were thus significantly lower than the VAS score at 1 hour. CONCLUSION: Our results clearly confirm that outpatient TLH is a feasible procedure, allowing same-day discharge and generating low levels of @entity158 . @entity1 can leave hospital in less than 5 hours. Standardized techniques, as well as coordination with the anesthesiologist, adequate postoperative nursing care and preoperative @entity1 counselling, are nevertheless required.
