Feasibility of sacrocolpopexy by outpatient laparoscopic surgery.

INTRODUCTION: Sacrocolpopexy (SP) is a common intervention that is most often performed by laparoscopy. This intervention usually involves standard hospitalization. Evaluation of whether this procedure can be safely carried out by outpatient hospitalization (OH) is of considerable relevance. The aim of our study was hence to evaluate the feasibility of SP by OH.

PATIENTS AND METHODS: This was an observational multicenter study that included women who underwent SP by OH. The main assessment criteria were the success rate of OH and the rate of rehospitalisation in the month following the intervention. The secondary assessment criteria were the rate of complications in the month following the surgery, the level of patient satisfaction evaluated by a set of straightforward questions and two validated questionnaires (the Patient Global Impression of Improvement [PGI-I] and the Core questionnaire for the assessment of Patient Satisfaction with general Day care [COPS-D]).

RESULTS: There were 55 women operated on by OH. The success rate for the OH was 49/55 (89.1% (80.7-97.3%)). Of the 31/55 women (56.4%) who answered the PGI-I questionnaire, 27/31 (87.1%) stated that the intervention improved their condition. Of the 30/55 women who answered the COPS-D questionnaire, 26/30 (86.7%) women were "satisfied" or "very satisfied" with the conditions for their discharge from the OH.

CONCLUSION: The success rate for SP by OH was high in this study, with a very substantial level of patient satisfaction. These findings nonetheless ought to be confirmed with series involving higher numbers of women.