This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. Gynecologic oncology Hysterectomy Laparoscopic Minimally invasive Review Robotic surgery Same-day discharge However, some factors were associated with a decreased possibility of same-day discharge these were older age, beginning surgery later than 1:00 pm and completing surgery later than 6:00 pm, longer duration of operation, and high estimated blood loss.Ĭonclusions: Same-day discharge appears feasible for a majority of patients who undergo minimally invasive hysterectomies if adequate emphasis is placed on pre-surgical planning and careful patient selection.

All the studies concluded that same-day discharge was feasible. Significant heterogeneity was observed in the studies, and publication and selection bias could have potentially affected the results. Main results: There were 15 observational studies with 11 992 patients included. Selection criteria: Randomized controlled trials and observational studies evaluating same-day discharge before midnight on the day of minimally invasive hysterectomy were included.ĭata collection and analysis: Study characteristics, pre-operative selection criteria, and predictive factors for same-day discharge were analyzed. No language or publication date restrictions were included. Search strategy: Medline, Embase and the Cochrane Central Register of Controlled Trials were systematically searched using the terms 'same day discharge', 'minimally invasive surgery', and 'hysterectomy' between October 1 and October 31, 2015. Objectives: To evaluate the feasibility of same-day discharge following minimally invasive hysterectomy and to identify associated factors. Email: Same-day discharge has been suggested to safe and acceptable following minimally invasive hysterectomy. Malene Korsholm, Research Unit of Gynecology and Obstetrics, Odense University Hospital, Odense, Denmark. Jensenĭepartment of Gynecology and Obstetrics, Odense University Hospital, University of Southern Denmark, Odense, Denmark Malene Korsholm* | Ole Mogensen | Mette M. Systematic review of same-day discharge after minimally invasive hysterectomy

Received: | Revised: 5 August 2016 | Accepted: 21 October 2016 | First published online: 11 November 2016 DOI: 10.1002/ijgo.12023

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