Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Tamussino, K; Giuliani, A; Gucer, F; Zivikovic, F; Lang, PFJ; Winter, R.
Reduced Length of Stay After Vaginal Hysterectomy
GEBURTSH FRAUENHEILK 1998 58: 605-608.
Doi: 10.1055/s-2007-1023009
Web of Science
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- Führende Autor*innen der Med Uni Graz
- Tamussino Karl
- Co-Autor*innen der Med Uni Graz
- Giuliani Albrecht
- Winter Raimund
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- Abstract:
- Background: The duration of hospital stays after operations is becoming an issue in German-speaking countries. We reviewed postoperative stays after vaginal hysterectomy at a university department during two 1-year periods. Material and Methods: Between August 1995 and July 1996 and between October 1996 and September 1997 a total of 146 vaginal hysterectomies were performed at our institution. Patients who underwent additional procedures for pelvic relaxation or stress incontinence, patients with carcinoma, and patients with supplementary (private) insurance were excluded. During the second time period all patients received antibiotic prophylaxis, additional emphasis was placed on early mobilization and early postoperative feeding, and patients were discharged from the hospital in the absence of complications if they felt ready. Early discharge was not an explicit goal. Complication and readmission rates were recorded prospectively. Results: The median postoperative stay decreased from 7 (5-9) to 5 (3-15) days (P < 0,001). Complication and readmisson rates were unchanged. Conclusion: Length of stay after Vaginal hysterectomy can be reduced without increasing complication rates.