Related Experiment Video
Updated: May 10, 2025
05:46
Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
9.7K
Day case total laparoscopic hysterectomy in a low resource setting: A descriptive analysis
Vishal Bahall1, Keevan Singh2, Lance De Barry1
1Department of Obstetrics and Gynaecology, San Fernando General Hospital, South-West Regional Health Authority, San Fernando, Trinidad and Tobago.
Women'S Health (London, England)
|April 21, 2025
Summary
Day-case laparoscopic hysterectomy is safe and feasible in low-resource settings. This study in Trinidad and Tobago found 96% of patients discharged within 24 hours with a low complication rate.
Area of Science:
- Minimally Invasive Surgery
- Gynecologic Oncology
- Surgical Outcomes
Background:
- Laparoscopic hysterectomy offers reduced morbidity and improved recovery.
- Same-day discharge is increasingly common in developed nations.
- Infrastructural limitations often restrict short-stay laparoscopic surgery in developing countries.
Purpose of the Study:
- To analyze the safety and feasibility of day-case laparoscopic hysterectomy.
- To evaluate outcomes in Trinidad and Tobago, a low-resource setting.
Main Methods:
- Retrospective analysis of 154 total laparoscopic hysterectomies (TLH) from January 2020 to January 2023.
- Review of patient demographics, surgical indications, perioperative variables, and complications.
- Outline of the perioperative management protocol.
Main Results:
- Uterine leiomyoma (45%) and endometrial cancer (17.5%) were primary indications for TLH.
- 96% of patients discharged within 24 hours; mean hospitalization was 21 hours.
- Low complication rate (2.6%), including DVT (1.3%) and PE (0.6%); no perioperative mortality or re-operations.
Conclusions:
- Day-case laparoscopic hysterectomy is feasible and safe in low-resource settings.
- The procedure demonstrates a low postoperative complication rate.
- Supports the expansion of minimally invasive surgical approaches in diverse healthcare environments.
