Our Summary

This research paper looked at whether it is safe and practical for women to be discharged from hospital on the same day they have a vaginal or laparoscopic hysterectomy (a surgery to remove the uterus). The researchers analyzed several studies and found that most women could safely go home the same day, especially if they were healthy to start with. The risk of having to go back to the hospital or having complications was low. The patients were generally happy with their care and letting them go home on the same day reduced hospital costs.

FAQs

  1. Is it safe for women to be discharged on the same day of their vaginal or laparoscopic hysterectomy?
  2. What is the risk of complications or the need for readmission after same-day discharge from a hysterectomy?
  3. Does same-day discharge after a hysterectomy contribute to reduced hospital costs?

Doctor’s Tip

One helpful tip a doctor might give a patient about hysterectomy is to follow the post-operative care instructions provided, including taking prescribed medications, avoiding heavy lifting and strenuous activities, and attending follow-up appointments. It is also important to listen to your body and report any unusual symptoms or concerns to your healthcare provider promptly. Additionally, maintaining a healthy lifestyle, including regular exercise and a balanced diet, can help promote healing and overall well-being after surgery.

Suitable For

Patients who are typically recommended hysterectomy include:

  1. Women with abnormal uterine bleeding that has not responded to other treatments
  2. Women with severe pelvic pain or pressure
  3. Women with uterine fibroids that are causing symptoms such as heavy bleeding or pelvic pain
  4. Women with endometriosis that is not responding to other treatments
  5. Women with gynecologic cancers such as uterine, ovarian, or cervical cancer

Additionally, patients who have completed their childbearing and do not wish to have any more children may also be recommended for hysterectomy. Ultimately, the decision to undergo a hysterectomy should be made in consultation with a healthcare provider after considering all treatment options and potential risks and benefits.

Timeline

Before hysterectomy:

  1. Consultation with a gynecologist to discuss the reasons for the surgery and the different options available.
  2. Pre-operative assessments, including blood tests, imaging tests, and possibly a physical examination.
  3. Pre-operative counseling to discuss the procedure, potential risks and complications, and post-operative care.
  4. Consent form signed by the patient.
  5. Pre-operative preparation, which may involve fasting, taking medications, and showering with special soap.
  6. Anesthesia administered before the surgery begins.

After hysterectomy:

  1. Recovery in the post-anesthesia care unit (PACU) immediately after the surgery.
  2. Monitoring of vital signs and pain management.
  3. Transition to the hospital room for further monitoring and recovery.
  4. Instructions on how to care for the surgical incisions and manage pain at home.
  5. Discharge planning, including arranging for a follow-up appointment with the gynecologist.
  6. Recovery at home, which may involve rest, limited physical activity, and avoiding heavy lifting.
  7. Follow-up appointments with the gynecologist to monitor healing and address any concerns.
  8. Resuming normal activities gradually as advised by the healthcare provider.

What to Ask Your Doctor

  1. What type of hysterectomy procedure do you recommend for me (vaginal, laparoscopic, abdominal) and why?

  2. What are the potential risks and complications associated with this type of hysterectomy?

  3. What is the expected recovery time and post-operative care protocol for this procedure?

  4. How can I manage pain and discomfort after surgery?

  5. Will I need to take any medications or follow a specific diet after the hysterectomy?

  6. What are the long-term effects of a hysterectomy on my overall health and well-being?

  7. Are there any alternative treatments or therapies that I should consider before proceeding with a hysterectomy?

  8. How will a hysterectomy affect my sexual function and fertility?

  9. Will I need to follow up with you or another healthcare provider after the surgery?

  10. What are the potential benefits of same-day discharge versus staying in the hospital for observation?

Reference

Authors: Dedden SJ, Geomini PMAJ, Huirne JAF, Bongers MY. Journal: Eur J Obstet Gynecol Reprod Biol. 2017 Sep;216:212-223. doi: 10.1016/j.ejogrb.2017.07.015. Epub 2017 Jul 22. PMID: 28810192