Comparison of Hospital Readmission Rates in Laparoscopic Hysterectomy Versus Laparoscopic Hysterectomy With Sacrocolpopexy After Same-Day Discharge [ID 787]

INTRODUCTION: Hysterectomy is the most common gynecologic procedure performed. It can be done with or without sacrocolpopexy, a surgical procedure that restores pelvic organ support. Previous studies show readmission rate for hysterectomies up to 2.8%. This study aims to compare reasons for readmission after hysterectomy with or without sacrocolpopexy and to identify factors related to increased likelihood of readmission. METHODS: Included were 12,749 women aged 18–88 in the North Florida Division of HCA Healthcare who underwent laparoscopic hysterectomy with and without sacrocolpopexy from January 2016 through March 2023. We excluded incarcerated patients and those with malignancy. Chi-squared tests analyzed readmission rates for both surgery types and compared patients who were discharged the same day to those with a longer length of stay. Binary logistic regression examined the likelihood of readmission within 60 days associated with both surgeries and with same-day discharge while controlling for comorbidities. RESULTS: There was a significantly higher risk of emergency room (ER) visit within 60 days of discharge for patients who underwent hysterectomy alone versus those with sacrocolpopexy. When controlling for same-day discharge and comorbidities, the odds of hospital and ER readmission within 60 days of hysterectomy-only surgery were significantly greater than for patients who had a hysterectomy with sacrocolpopexy. CONCLUSIONS/IMPLICATIONS: Laparoscopic hysterectomy alone demonstrated a significantly higher risk of hospital readmission within 60 days of discharge compared to hysterectomy with sacrocolpopexy. Patients discharged the same day as surgery had a decreased risk of readmission, which demonstrates the effectiveness of same-day discharge after minimally invasive gynecologic surgery.