T1 Performance of outpatient total laparoscopic hysterectomy on transsexual patients. Satisfaction and economic impact.
T2 Realización de histerectomía laparoscópica total ambulatoria en pacientes transexuales. Satisfacción e impacto económico.
A1 Báez Quintana, Delia Rosa
A1 Ces Silva, Laura
A1 Coloma Escribano, Marta
A1 Álvarez de la Rosa Rodríguez, Margarita
A1 Carrancho Montero, Miguel Ramón
A1 Gil Moreno, Antonio
K1 Histerectomía
K1 Transexualidad
K1 Personas transgénero
K1 Histerectomía laparoscópica
AB Objective: To assess the safety, satisfaction and economic impact of total laparoscopic hysterectomy with bilateral salpingooophorectomy performed as an outpatient procedure on transsexual patients.Material and methods: Retrospective cohort study conducted in a tertiary university hospital, between 2015-2018. Epidemiological data, intraoperative and postoperative complications and surgical results were collected. Pain score, general state ofhealth and satisfaction levels were assessed on a phone survey. Cost savings were calculated taking as a reference the averagecost of stay.Results: 49 patients were recruited. Admission was required in two cases (4.1%). The rate of intraoperative complications was6.1% (3/49) and there were no major complications. Six patients (12.2%) attended the emergency services but no admissionwere required. 97.6% (41/42) of patients was regarded their general state of health as good or excellent and the averagepain score was 2.20 according to the Visual Analogue Scale. Calculated cost savings based on the outpatient procedure were€45,705.62.Conclusions: The performance of total laparoscopic hysterectomy with bilateral salpingo-oophorectomy as an outpatientprocedure on transsexual patients presents minor complications, a low rate of readmission and emergency visits, high patientsatisfaction levels and low pain scores, with reduced costs.
YR 2019
FD 2019
LK http://riull.ull.es/xmlui/handle/915/35142
UL http://riull.ull.es/xmlui/handle/915/35142
LA en
NO Prog Obstet Ginecol 2019;62(5):443-449
DS Repositorio institucional de la Universidad de La Laguna
RD 19-nov-2024