ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Laparoscopic Hysterectomy Outcomes: Hospital vs Ambulatory Surgery Center.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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Who cites it
4 citing papers in PubMed, 13 citations in OpenAlex.
- Single-center experience of laparoscopic hysterectomy: analysis of one thousand five hundred and fifteen patientsJournal of the Turkish German Gynecological Association · 2024Article
- Safety of early discharge in patients undergoing laparoscopic hysterectomy in a high complexity center in Bogotá, Colombia, 2013 - 2019. Historical cohortRevista colombiana de obstetricia y ginecologia · 2021Article
- Laparoscopic-assisted myomectomy: Surgery center versus outpatient hospital.The journal of obstetrics and gynaecology research · 2020Article
- Association of patient characteristics with operative time greater than 2 hours for laparoscopic hysterectomy.Proceedings (Baylor University. Medical Center)Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectiveCompare operative outcomes of laparoscopic hysterectomy in an outpatient hospital setting versus freestanding ambulatory surgery center.
methodsRetrospective cohort study of two groups in an outpatient hospital surgery department and freestanding ambulatory surgical center, both serving the Washington, DC area. Women, 18 years or older, who underwent laparoscopic hysterectomy for benign conditions in an outpatient hospital setting between 2011 and 2014 (n = 821), and at an ambulatory surgery center between 2013 and 2017 (n = 1210). Laparoscopic hysterectomy with retroperitoneal dissection and early ligation of the uterine arteries at the origin, performed by gynecologic surgical specialists from a single practice. Patient characteristics, medical history, uterine weight, pathology, operating times, estimated blood loss, and complications were analyzed.
resultsThe mean uterine size between settings was not significantly different (Ambulatory Surgery Center, 349.4 g; Hospital, 329.7 g). The largest uteri removed at the surgery center was 3500 g; at the hospital it was 2489 g. The surgery center had a shorter average operating time than the hospital (53.7 and 61.3 minutes, respectively;
conclusionsLaparoscopic hysterectomy can be performed safely and effectively by skilled surgeons at a freestanding ambulatory surgery center, even in complex cases with large uteri.
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