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Updated: Feb 5, 2026
05:21
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
496
Discharge Readiness after Robotic and Laparoscopic Hysterectomy
Christopher C DeStephano1, Shilpa P Gajarawala1, Mariana Espinal1
1Department of Surgical Gynecology (Drs. DeStephano, Gajarawala, Espinal, and Robertson).
Journal of Minimally Invasive Gynecology
|September 22, 2018
Summary
Patient readiness for discharge after hysterectomy is high, with longer operating times linked to delayed readiness. Identifying at-risk patients allows for targeted interventions to improve postoperative care and patient knowledge.
Area of Science:
- Gynecologic Surgery
- Minimally Invasive Surgery
- Patient Outcomes
Background:
- Hysterectomy is a common gynecologic procedure.
- Robotic and laparoscopic approaches are increasingly utilized.
- Assessing patient readiness for discharge is crucial for successful recovery.
Purpose of the Study:
- To identify factors predicting patient readiness for discharge following robotic and laparoscopic hysterectomy.
- To evaluate patient knowledge of postoperative symptoms and restrictions.
- To determine predictors of postoperative phone calls and readmissions.
Main Methods:
- Prospective cohort study of 230 patients undergoing robotic or laparoscopic hysterectomy.
- Patient readiness and knowledge assessed via survey 4-6 weeks post-surgery.
- Regression models used to analyze associations between patient characteristics and outcomes.
Main Results:
- 90% of patients felt ready for discharge.
- Longer operating room time was associated with lower discharge readiness (p=0.011).
- Factors influencing postoperative calls included indication, operative time, complications, and lack of educational video (p<0.05).
- Older patients and surgeon variability impacted knowledge of postoperative restrictions (p<0.05).
Conclusions:
- High rates of discharge readiness and knowledge were observed post-hysterectomy.
- Identified risk factors, such as longer operative times and lack of patient education, can guide targeted interventions.
- Preoperative and postoperative interventions can be tailored to improve patient outcomes and preparedness.
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