Vaginal Hysterectomy: Outcomes As 24 Hr Short Stay Surgery

Objectives: to find out feasibility,acceptability and patient satisfaction with vaginal hysterectomy performed as 24 hour hospital stay case. study settings:- this study was carried out at gynae obs. unit-iv of liaquat university hospital jamshoro (tertiary care hospital)from feb 2011 to july 2012. methodology: this is a descriptive observational studyin which women with utero vaginal prolapse,non-obese,with adequate home support and telephonic accessibility are included. patients with un-controlled co-morbidities like hypertension,diabetes,obstructive lung disease etc requiring monitoring were excluded from the study,along with the women having anneal pathology requiring removal vaginally. all parameters of post-operative recovery and satisfaction of patients were noted,compiled and presented. results: out of 57 suitable candidates for vaginal hysterectomy as 24 hour hospital stay surgery only 20 gave consent for participation in study and one refused to go after surgery because of vomiting. none of the19 patient returned back before their first follow up visit that was 9th post-operative day. three (15%) complained about offensive vaginal discharge,1 (.2%) woman had an episode of heavy bleeding after reaching home but that was controlled by the instructions given on phone. four (20%) patients,who initially agreed for 24 hour stay,did not want a discharge. seventeen (85%) patients were not satisfied because lot of apprehension for post-operative home care,and multiple visits to out-patient-department before admission causing financial burden on the family. conclusion: vaginal hysterectomy can safely be performed as short hospital stay surgery but lack of infra-structure and awareness of community as well as of primary healthcare provider make it less acceptable,less satisfying and costly at receivers end.