Day surgery hysterectomy: From concept to reality (2604)
Minimally invasive hysterectomy procedures include those completed vaginally (VH), laparoscopically (LH), or via a robot-assisted laparoscopic route. These techniques also can be used in combination, such as laparoscopy-assisted VH.
Minimally invasive hysterectomy offers several benefits, and recent studies of laparoscopic and robotic procedures for benign or malignant indications have documented less pain, less blood loss, fewer complications, shorter hospital stays, faster recovery and return to normal activities, as well as improved cosmesis compared with abdominal hysterectomy.
A personal series of single site robotic assisted laparoscopic hysterectomy will be presented. With a standardised protocol, same day discharge can be carries out with safety. Patient selection with preoperative education is crucial for success. Preoperative analgesia, intraoperative antiemetic, specific comfort measures and detail postoperative care has made the concept of day surgery hysterectomy a reality.