Our Summary

This research focused on a project to introduce same-day discharge for patients undergoing hysterectomy surgeries in the National Health Service. The goal was to manage the frequent cancellation of elective surgeries due to limited inpatient beds, a situation worsened by acute emergency admissions and the COVID-19 pandemic. To ensure patients could leave on the same day of their surgery, several steps were taken including educating patients beforehand, keeping them well-hydrated, changing the way anesthesia and surgery were administered, and having both surgeons and nurses work together to ensure safe discharge. The results were promising, with 93% of patients in the first cycle and 100% in the second cycle being discharged on the same day as their surgery. Plus, in a survey, 90% of patients said they would recommend same-day hysterectomies to friends or family. The project’s success was attributed to the involvement and feedback from all team members from the start to the implementation of the guidelines.

FAQs

  1. What was the purpose of introducing same-day discharge for patients undergoing hysterectomy surgeries in the National Health Service?
  2. What steps were taken to ensure patients could be discharged on the same day of their surgery?
  3. What were the results of implementing same-day discharge for patients undergoing hysterectomy surgeries?

Doctor’s Tip

A doctor might tell a patient undergoing a laparoscopic hysterectomy to make sure to follow all post-operative instructions carefully, including taking pain medication as prescribed, avoiding heavy lifting, and getting plenty of rest. It is also important to stay hydrated and eat a healthy diet to aid in the healing process. Lastly, it is essential to follow up with your doctor for any concerns or questions during the recovery period.

Suitable For

Patients who are typically recommended for laparoscopic hysterectomy include those with benign gynecological conditions such as fibroids, abnormal uterine bleeding, endometriosis, pelvic pain, and certain types of gynecological cancers. Additionally, patients who are considered to be low risk for complications during surgery and have a favorable overall health status are also good candidates for laparoscopic hysterectomy. It is important for patients to discuss their individual medical history and concerns with their healthcare provider to determine if laparoscopic hysterectomy is the best option for them.

Timeline

Before laparoscopic hysterectomy:

  • Patient meets with gynecologist to discuss the need for surgery
  • Patient undergoes pre-operative testing and evaluation
  • Patient receives instructions on how to prepare for surgery, including fasting and stopping certain medications
  • Patient arrives at the hospital on the day of surgery and meets with the surgical team
  • Patient is taken to the operating room for the laparoscopic hysterectomy procedure

After laparoscopic hysterectomy:

  • Patient wakes up in the recovery room and is monitored by medical staff
  • Patient is transferred to a hospital room for further observation
  • Patient is encouraged to start moving around and walking to aid in recovery
  • Patient receives pain medication as needed and is monitored for any complications
  • Patient is provided with discharge instructions and information on post-operative care
  • Patient is discharged from the hospital and sent home to continue recovery

Overall, the laparoscopic hysterectomy procedure allows for a quicker recovery time and shorter hospital stay compared to traditional open surgery. With proper care and follow-up, patients can expect to return to their normal activities within a few weeks after surgery.

What to Ask Your Doctor

  1. What are the benefits of a laparoscopic hysterectomy compared to traditional open surgery?
  2. What is the recovery time expected for a laparoscopic hysterectomy?
  3. Are there any potential risks or complications associated with this procedure?
  4. Will I need to stay in the hospital overnight or is same-day discharge an option?
  5. What steps will be taken to ensure a safe and successful same-day discharge after the surgery?
  6. How soon can I return to normal activities and work after a laparoscopic hysterectomy?
  7. What pain management options will be available to me during and after the surgery?
  8. How often will I need to follow up with you after the procedure?
  9. Are there any specific restrictions or precautions I should take after a laparoscopic hysterectomy?
  10. What other treatment options were considered and why was a laparoscopic hysterectomy recommended for me?

Reference

Authors: Ward A, Roberts S, Harvey N, Dana E, Goumalatsou C, Tipples M. Journal: BMJ Open Qual. 2023 Mar;12(1):e002154. doi: 10.1136/bmjoq-2022-002154. PMID: 36941008