Observational studyScientific reports2026
Feasibility and associated factors of same-day discharge after hysteroscopic-laparoscopic surgery for infertility under ERAS: a prospective observational study.
Observational study in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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10 authors.
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Abstract
Despite the increasing adoption of Enhanced Recovery After Surgery (ERAS) protocols, same-day discharge after hysteroscopic-laparoscopic surgery for infertility remains underexplored, particularly in terms of its clinical implementation and influencing factors. This prospective observational study included 104 infertile women who underwent combined hysteroscopic-laparoscopic surgery. All patients received standardized ERAS care and were categorized into same-day and non-same-day discharge groups by actual discharge time. Same-day discharge was achieved in 51 of the 104 patients (49.0%). All non-same-day discharged patients met the objective discharge criteria, and the between-group difference did not reflect poorer postoperative recovery. Postoperative complication rates were low and comparable between groups (3.92% vs. 5.66%), with no unplanned reoperations or 30-day readmissions. Factors independently associated with same-day discharge were a residential distance > 30 km (OR 0.108; 95% CI 0.036-0.325; P < 0.001), a surgical end before 15:00 (OR 7.862; 95% CI 2.609-23.694; P < 0.001), and prior abdominal surgery (OR 6.501; 95% CI 1.796-23.535; P = 0.004). Same-day discharge is feasible under ERAS management in appropriately selected patients, and that the actual discharge timing is influenced by logistical and non-clinical factors.
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