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Abdominal Hysterectomy. Complications, Hospital Stay and Cost
Author(s) -
Carrette Michael
Publication year - 1996
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1996.tb02193.x
Subject(s) - medicine , ileus , hysterectomy , general surgery , abdominal hysterectomy , hospital discharge , regimen , surgery
EDITORIAL COMMENT: This series is small but personal, and the point made is important. As all consultant gynaecologists must surely know, private noninsured patients are usually good candidates for shortened hospital stay, when there are no complications such as ileus, wound haematoma, urinary infection or unexpected pain. Such women have shown that discharge on the third day, early by Australian but certainly not by North American standards, is a satisfactory regimen when all goes well, as it usually does. Readers are referred to MacKenzie ‘s (5) recent paper of 768 cases of nonradical total abdominal hysterectomies where from 1982 to 1994 the average number of nights in hospital fell from 8 to 5 ‐ this study suggested that ‘very early discharge is acceptable and preferable for many women, provided that domestic arrangements had been made in advance of admission’. See also Editorial Comment regarding Laparoscopic Minilaparotomy Hysterectomy. Wood C, Maher P. Aust NZ J Obstet Gynaecol 1995; 35: 204–205.