Robotic Surgical Procedures, Hysterectomy, Patient Discharge
Hysterectomy is one of the most common surgeries performed in the United States with more than 600,000 procedures annually . It has been estimated that in 2011, there were more than 64,000 surgeries performed in an outpatient setting. The highest rate of 0.46% (464/100,000 adult women) has been reported in Maine. The average length of stay was 0.65 days for laparoscopic and 0.79 days for vaginal hysterectomies . Traditionally, hysterectomies have been performed as an inpatient procedure to manage postoperative pain and monitor complications such as bleeding, anemia and return of bowel function. Development of minimally invasive surgery techniques with minimal blood loss, decreased postoperative pain and recovery time, and faster return of bowel function have, however, significantly shortened hospital stays . The robotic surgical platform for minimally invasive surgery was approved by the American College of Obstetrics and Gynecology in 2005, and since then the number of these procedures has continually increased . Today, the feasibility and safety of same-day discharges have been well established for patients undergoing minimally invasive hysterectomy after laparoscopic and robotic surgeries . However, despite the reported positive findings, the percentage of patients who are discharged on the same-day vary from 16% to 90%. Reasons for post-operative hospital admission include nausea and vomiting, inadequate pain control, postoperative urinary retention, inadequate home support, and patient preference . The purpose of this retrospective study was to identify and describe predictors for same-day and non-same-day discharge after robotic hysterectomy in a 637 licensed-bed Magnet® designated tertiary care teaching hospital.
Fox, Heidi and Hyrkas, Kristiina, "Predictors for Discharge After Robotic Hysterectomy – A Retrospective Analysis" (2019). Maine Medical Center. 686.