Outpatient laparoscopic sacrocolpopexy: Feasibility and patient satisfaction

Pelvic organ prolapse (POP) is a common and benign condition with an estimated lifetime prevalence of 50% and a risk of surgical intervention of 11% in individuals aged 70 [1], [2], [3], [4], [5].

Many surgical procedures have been described. Laparoscopic sacrocolpopexy (LSCP) is a surgical technique considered a gold-standard technique for several gynecologic societies [6], [7], [8], [9].

LSCP is usually managed with a standard hospitalization  In France, the average hospital stay reported with the main code used for LSCP (JKDC0010) was approximatively 2 days in 2021 with an outpatient rate of 675/8223 (8%) [10]. Outpatient surgery began in the United States of America in the 1970s [11]. In 1985, the Royal College of Surgeons of England estimated that 50% of all surgical interventions could be managed outpatient [12]. The International Association of Ambulatory Surgery (IAAS) was created in 1995 to promote outpatient surgery. In France, outpatient surgery became a national priority in 2010 [13].

Many laparoscopic gynecological surgeries have been assessed with outpatient management, including surgeries with high postoperative morbidity, such as hysterectomy [11,[14], [15], [16]]. Same day discharge after vaginal approach to POP repair has also been assessed [17,18]. This development was parallel to the development of enhanced recovery after surgery protocol. Recent data intended to demonstrate the feasibility of outpatient LSCP. Still, these studies included only a limited number of patients [19], [20], [21], [22], [23], [24].

Therefore, this study aimed to assess the feasibility and patient satisfaction of outpatient LSCP.

留言 (0)

沒有登入
gif