AMeTHYST (AMbulatory HYstérectomy surgery) : faisabilité de l'hystérectomie en ambulatoire, étude préliminaire

Abstract : Introduction: hysterectomy is one of the most performed surgery in women. CNGOF recommends the use of laparoscopic or vaginal routes. One-day surgery is a goal for public authorities who have set a target of 66% in 2020 in France. The aim of the study was to evaluate the feasibility of one-day surgery for mini-invasive hysterectomy and identify the predictive factors of succeed and failing. Materials and Methods: we conducted a prospective bicentric observational study at Caen University Hospital and Amiens University Hospital between 09/29/17 and 06/15/18. We included hospitalized patients managed for a laparoscopic or vaginal hysterectomy. Two groups “able” and “unable” have been designed according to the 6 hours past surgery’s PADSS score. A questionnaire was also given to patients during the hospitalization. Results: 50 patients were included during the study period. Half was in the "able" group. Laparotomy history was significantly predictive to discharge inability. Uterine size and BMI were not predictive criteria. The main limits to the discharge were pain and postoperative nausea / vomiting. 4 patients had grade 1 postoperative complications (acute urine retention), they were all in the "unable" group. Conclusion: one-day minimally invasive hysterectomy is possible and safe. Patient’s complete engagement is key for success.
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Énora Dolivet. AMeTHYST (AMbulatory HYstérectomy surgery) : faisabilité de l'hystérectomie en ambulatoire, étude préliminaire. Médecine humaine et pathologie. 2018. ⟨dumas-02044843⟩



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