Ectopic pregnancy is one of the most serious complications in early pregnancy. It is estimated that 1–2 % of all pregnancies end in ectopic pregnancy [1]. Traditionally, ectopic pregnancy was a life-threatening condition that was most diagnosed at the time of a surgical procedure. The improvement in sensitivity of transvaginal ultrasound (TVUS) helped to diagnose asymptomatic women with an ectopic pregnancy [2]. Ectopic pregnancy remains the leading cause of first‐trimester pregnancy‐related death and occurs most often in the ampulla of the fallopian tube [3,4]. Tubal ectopic pregnancy can be managed expectantly, medically, or surgically however surgery is recommended for patients with hemodynamic compromise, β-hCG > 5000 IU/L, ectopic pregnancy size > 35 mm, or fetal heart beats [4,5]. Laparoscopic surgery is preferred, but laparotomy may be needed in emergencies [5]. Despite growing evidence supporting same-day discharge (SDD) in benign and malignant hysterectomy patients, to our knowledge no large‐scale analysis has evaluated predictors of non‐SDD following laparoscopic management of ectopic pregnancy. SDD confers multiple benefits, including higher patient satisfaction, fewer iatrogenic complications, and reduced cost of care [6,7]. Furthermore, in the era of the coronavirus disease pandemic, SDD emerged as an essential adjunct to reducing the inpatient burden and the transmission rate. Therefore, to achieve better rates of SDD, the American Association of Gynecologic Laparoscopists (AAGL) and the American College of Obstetricians and Gynecologists (ACOG) have endorsed practice guidelines that strongly encourage the utilization of ERAS pathways and same day discharge for eligible patients [7]. Besides postoperative resumption of exercise and return to work, same day discharge is among the most common questions gynecologic surgeons hear from their patients [8]. Our study examines factors associated with non-SDD among patients with ectopic pregnancy undergoing laparoscopic surgical management of ectopic pregnancy.
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