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  • Title: Outpatient laparoscopic supracervical hysterectomy with assistance of the lap loop.
    Author: Lieng M, Istre O, Langebrekke A, Jungersen M, Busund B.
    Journal: J Minim Invasive Gynecol; 2005; 12(3):290-4. PubMed ID: 15922989.
    Abstract:
    STUDY OBJECTIVE: To elucidate the safety and patient satisfaction with laparoscopic supracervical hysterectomy (LSH) performed in an outpatient setting. DESIGN: Prospective case study (Canadian Task Force classification II-2). SETTING: Public hospital. PATIENTS: Forty-three women. INTERVENTION: Outpatient LSH performed by lap-loop. MEASUREMENTS AND MAIN RESULTS: The procedure was recommened by 41 out of 43 patients. Three patients (7%) were admitted to the hospital due to complications after the surgery. One patient was admitted because of a vasovagal reaction after anesthesia; she recovered quickly and was discharged after a few hours of observation. One patient was admitted because of postoperative pain and discharged the next day; she had a prolonged postoperative recovery with pain and subfebrile temperature. One patient underwent laparotomy due to major intraabdominal bleeding. Postoperative complications occurred in another five patients (12%) without need for hospitalization (infected intra-abdominal hematoma, urine retention, cystitis, cystitis combined with wound infection, and pneumonia). CONCLUSION: Laparoscopic supracervical hysterectomy as an outpatient procedure is a safe and highly acceptable treatment.
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