ACOG Conference Coverage

Readmission Risk After Laparoscopic Hysterectomy With vs Without Sacrocolpopexy

Miranda Manier, BA

Key Highlights

  • Laparoscopic hysterectomy alone was associated with significantly higher 60-day readmission rates.
  • Adding sacrocolpopexy reduced the likelihood of hospital and ER readmissions.
  • Same-day discharge was linked to decreased risk of readmission.
  • Comorbidities were accounted for in the analysis, reinforcing these findings.

Among 12,749 women who underwent laparoscopic hysterectomy with or without sacrocolpopexy, those who received the hysterectomy alone had a significantly higher risk of hospital and emergency department readmission within 60 days. Patients who were discharged on the same day as surgery were less likely to be readmitted, regardless of the procedure performed.

This study, presented at the American College of Obstetricians and Gynecologists 2025 Annual Clinical & Scientific Meeting in Minneapolis, MN, examined readmission risks associated with different surgical approaches for hysterectomy. Given that sacrocolpopexy is sometimes added to restore pelvic organ support, the researchers sought to determine whether this addition affects short-term outcomes, especially the likelihood of hospital or emergency department readmission within 60 days.

Researchers retrospectively analyzed data from 12,749 women aged 18 to 88 who underwent laparoscopic hysterectomy, with or without sacrocolpopexy, across the North Florida Division of HCA Healthcare from January 2016 to March 2023. The cohort excluded incarcerated individuals and those with malignancy. Investigators used chi-squared testing to compare readmission rates between groups and applied binary logistic regression to assess the impact of surgical type and same-day discharge on 60-day readmissions, controlling for patient comorbidities.

Findings revealed that patients who underwent laparoscopic hysterectomy without sacrocolpopexy were significantly more likely to return to the emergency room within 60 days compared to those who received sacrocolpopexy in addition to the hysterectomy. This association persisted even after adjusting for same-day discharge status and comorbidities. Same-day discharge was associated with a reduced likelihood of readmission overall.

“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,” the study authors concluded.

Reference

Rittenour L, Schaeffer A, Zemaitis DeCesare J, Jaacks LM, Liu Y. Comparison of hospital readmission rates in laparoscopic hysterectomy versus laparoscopic hysterectomy with sacrocolpopexy after same-day discharge. Poster presented at: American College of Obstetricians and Gynecologists 2025 Annual Clinical & Scientific Meeting; May 16–18, 2025; Minneapolis, MN. Accessed May 19, 2025. https://annualmeeting.acog.org/