Peri and post-operative outcomes of outpatient versus inpati
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To assess the feasibility of outpatient laparoscopic management of apical pelvic organ prolapse along with indicated vaginal repairs and anti-incontinence procedures a study was conducted.

112 patients seen in the Minimally Invasive Gynecologic Surgery (MIGS) and Urogynecology clinics with symptomatic pelvic organ prolapse.

Of the 112 patients, 52 were outpatient and 60 were admitted. Patient baseline characteristics, ASA class, and POP-Q stage were similar between the outpatient and admitted cohorts. Most patients underwent a hysterectomy at the time of the sacropexy. Concomitant AP repair was more common in the outpatient group. The proportion of outpatient procedures increased from 17% in 2013 to a peak of 70% in 2016. OR time was shorter for the outpatient cohort, but other peri-operative outcomes were similar. There were no intra-operative complications. Post-operative complications, readmission, and re-operations were low and similar between outpatient and admitted cohorts. No factor was predictive of admission on regression analysis.

Peri-operative outcomes are similar for outpatient and admitted patients following laparoscopic apical prolapse repair, making outpatient surgery a feasible option. A unique team approach may foster a shorter, more efficient procedure without compromising short-term outcomes.

Source:https://www.jmig.org/article/S1553-4650(20)31174-2/fulltext
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