Short hospital stay for gynecologic reconstructive surgery via laparotomy.

Abstract

To evaluate the short hospital stay for different gynecologic reconstructive procedures performed by laparotomy. Two hundred twelve patients who had tubal reanastomosis, 124 who had salpingoneostomy, and 148 who had myomectomy were studied retrospectively. The study evaluated pregnancy rates, adhesion formation, discomfort, and complications in each group. Pregnancy rates for the reanastomosis, salpingoneostomy, and myomectomy patients were 72, 34, and 63%, respectively. Twenty-three percent of salpingoneostomy patients developed flimsy periadnexal adhesions, whereas only 9% in the myomectomy group developed flimsy pelvic adhesions. No complications occurred in any of the three groups. Less than 1% of patients in the two tuboplasty groups complained of minimal abdominal discomfort before discharge, and 4% had similar complaints in the myomectomy group. Patients who have gynecologic reconstructive surgery can be discharged within 24 hours after the procedure with an excellent outcome.