Jozefien Hamilton, Joggem Veen, Anne Damoiseaux, Viviane Dietz, Jaklien Leemans, Sanne van Leijsen
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引用次数: 0
Abstract
Introduction: With the implementation of the Enhanced Recovery After Surgery (ERAS) approach, the duration of hospital admission after vaginal prolapse surgery is reduced. In this study, we determined the safety and feasibility of same-day discharge in patients undergoing a Manchester procedure by comparing same-day discharge to overnight admission.
Methods: This retrospective cohort study was performed in a teaching hospital in the Netherlands. During the period 2019-2023, all patients undergoing a Manchester procedure planned with overnight admission (group A) were compared to patients undergoing this surgery which was planned with same-day discharge (group B). The need for readmission and rate of prolonged hospitalization and complications were compared.
Results: This study included 213 patients; 103 in group A and 110 in group B. Baseline characteristics were comparable between the two groups. The rate of readmission in both groups was similar (10.7% vs 15.5%; p = 0.183). No differences were found regarding complications such as discharge with prolonged catheterization due to urinary retention (15.5% vs 11.8%; p = 0.483).
Conclusion: Performing the Manchester procedure with same-day discharge is safe and should be implemented as an important element of the ERAS approach. Same-day discharge further reduces length of hospital stay and could reduce costs, while promoting early patient mobilization.
简介：随着手术后增强恢复（ERAS）方法的实施，阴道脱垂手术后住院时间缩短。在这项研究中，我们通过比较当日出院和过夜住院的患者，确定了曼彻斯特手术当日出院的安全性和可行性。方法：本回顾性队列研究在荷兰的一家教学医院进行。在2019-2023年期间，将所有计划过夜住院的曼彻斯特手术患者（a组）与计划当天出院的手术患者（B组）进行比较。比较两组再入院次数、延长住院时间及并发症发生率。结果：本研究纳入213例患者；A组103例，b组110例。两组的基线特征具有可比性。两组再入院率相似(10.7% vs 15.5%；P = 0.183)。在尿潴留引起的导尿时间延长的并发症方面，两组无差异(15.5% vs 11.8%；P = 0.483)。结论：当日出院的曼彻斯特手术是安全的，应作为ERAS方法的重要组成部分加以实施。当日出院进一步缩短了住院时间，可以降低费用，同时促进患者早期动员。
期刊介绍：
The International Urogynecology Journal is the official journal of the International Urogynecological Association (IUGA).The International Urogynecology Journal has evolved in response to a perceived need amongst the clinicians, scientists, and researchers active in the field of urogynecology and pelvic floor disorders. Gynecologists, urologists, physiotherapists, nurses and basic scientists require regular means of communication within this field of pelvic floor dysfunction to express new ideas and research, and to review clinical practice in the diagnosis and treatment of women with disorders of the pelvic floor. This Journal has adopted the peer review process for all original contributions and will maintain high standards with regard to the research published therein. The clinical approach to urogynecology and pelvic floor disorders will be emphasized with each issue containing clinically relevant material that will be immediately applicable for clinical medicine. This publication covers all aspects of the field in an interdisciplinary fashion
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