{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T19:47:34Z","timestamp":1788983254171,"version":"build-2803163510"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T00:00:00Z","timestamp":1748649600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T00:00:00Z","timestamp":1748649600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Introduction and hypothesis<\/jats:title>\n            <jats:p>Vaginal packing is sometimes placed during pelvic floor reconstructive surgery to aid with hemostasis. Historically, these patients were admitted overnight. In the interest of moving patients safely and efficiently through the discharge process select patients are discharged home with vaginal packing. The objective of this study is to assess healthcare utilization and safety among patients discharged with packing.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Retrospective review of patients undergoing pelvic organ prolapse (POP) surgery by a single surgeon between 2016 and 2023. Patients were identified before and after the 2020 COVID pandemic as this marked a transition point where same day discharge became heavily emphasized. The historic cohort (group 1) represents patients admitted overnight with vaginal packing compared to those discharged home same day to remove their own packing (group 2). Healthcare utilization and complications were recorded in the first 30\u00a0days postoperatively.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Thirty-eight patients were identified in group 1 and 39 in group 2. Age, BMI, and estimated blood loss was similar. There were 20 total unplanned encounters with 10 in each group (<jats:italic>p<\/jats:italic>\u2009=\u20090.95). Unplanned encounters in group 1 were seven phone calls\/messages, one office visit, and two ED visits compared to three phone calls\/messages, five office visits, and two ED visits in group 2. Overall complication rate was similar with six in group 1 and seven in group 2 (<jats:italic>p<\/jats:italic>\u2009=\u20090.80). There were zero cases of retained packing.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Patients may safely be discharged home with vaginal packing in place with similar rate of complications and healthcare utilization when compared to hospital admission.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00192-025-06186-y","type":"journal-article","created":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T06:24:39Z","timestamp":1748672679000},"page":"1517-1521","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Same Day Discharge with Vaginal Packing Following Pelvic Floor Reconstruction: An Analysis of Safety and Healthcare Utilization"],"prefix":"10.1007","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2572-2611","authenticated-orcid":false,"given":"Tyler","family":"Trump","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omer","family":"Anis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard B.","family":"Goldman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,5,31]]},"reference":[{"key":"6186_CR1","doi-asserted-by":"publisher","first-page":"1873","DOI":"10.1007\/s00192-013-2178-8","volume":"24","author":"C Cheon","year":"2013","unstructured":"Cheon C, Maher C. Economics of pelvic organ prolapse surgery. Int Urogynecol J. 2013;24:1873\u20136.","journal-title":"Int Urogynecol J"},{"key":"6186_CR2","doi-asserted-by":"crossref","unstructured":"Westermann LB, Crisp CC, Oakley SH, Mazloomdoost D, Kleeman SD, Benbouajili JM, Ghodsi V, Pauls RN. To pack or not to pack? A randomized trial of vaginal packing after vaginal reconstructive surgery. Urogynecology. 2016;22(2):111\u2013117.","DOI":"10.1097\/SPV.0000000000000238"},{"issue":"12","key":"6186_CR3","first-page":"735","volume":"27","author":"AA Berger","year":"2021","unstructured":"Berger AA, Tan-Kim J, Menefee SA. Utilizing outpatient pelvic reconstructive surgery in the era of the COVID-19 pandemic. Urogynecology. 2021;27(12):735\u20139.","journal-title":"Urogynecology"},{"issue":"6","key":"6186_CR4","doi-asserted-by":"publisher","first-page":"702","DOI":"10.7205\/MILMED-D-10-00438","volume":"176","author":"MA Lutgendorf","year":"2011","unstructured":"Lutgendorf MA, Schindler LL, Hill JB, Magann EF, O\u2019Boyle JD. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702\u20134. https:\/\/doi.org\/10.7205\/MILMED-D-10-00438.","journal-title":"Mil Med"},{"key":"6186_CR5","unstructured":"Anderson J, Paterek E. Vaginal foreign body evaluation and treatment. In: StatPearls. StatPearls, Treasure Island ; 2024. 2019. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK549794\/."},{"issue":"4","key":"6186_CR6","doi-asserted-by":"publisher","first-page":"789","DOI":"10.1007\/s00192-022-05331-1","volume":"34","author":"O Porta-Roda","year":"2023","unstructured":"Porta-Roda O, Cornet-Cortada A, Font-Vilamitjana A, Huguet-Galofr\u00e9 E, Lleberia-Juan\u00f3s J, Sol\u00e0-Arnau I. Vaginal packing after vaginal hysterectomy: systematic review and recommendations. Int Urogynecol J. 2023;34(4):789\u201396.","journal-title":"Int Urogynecol J"},{"issue":"2","key":"6186_CR7","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1034\/j.1600-0412.2002.810209.x","volume":"81","author":"M Ottesen","year":"2002","unstructured":"Ottesen M, S\u00f8rensen M, Rasmussen Y, Smidt-Jensen S, Kehlet H, Ottesen B. Fast track vaginal surgery. Acta Obstet Gynecol Scand. 2002;81(2):138\u201346.","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"7","key":"6186_CR8","doi-asserted-by":"publisher","first-page":"1381","DOI":"10.1007\/s00192-024-05815-2","volume":"35","author":"J Hamilton","year":"2024","unstructured":"Hamilton J, Mosch AM, Veen J, Damoiseaux A, Leemans J, van Leijsen S. Early removal of indwelling catheter and vaginal pack after vaginal prolapse surgery: a retrospective cohort study. Int Urogynecol J. 2024;35(7):1381\u20137. https:\/\/doi.org\/10.1007\/s00192-024-05815-2.","journal-title":"Int Urogynecol J"},{"issue":"5","key":"6186_CR9","doi-asserted-by":"publisher","first-page":"1027","DOI":"10.1097\/AOG.0000000000003531","volume":"134","author":"A Shatkin-Margolis","year":"2019","unstructured":"Shatkin-Margolis A, Yook E, Hill AM, Crisp CC, Yeung J, Kleeman S, Pauls RN. Self-removal of a urinary catheter after urogynecologic surgery: a randomized controlled trial. Obstet Gynecol. 2019;134(5):1027\u201336.","journal-title":"Obstet Gynecol"}],"container-title":["International Urogynecology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-025-06186-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00192-025-06186-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-025-06186-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T16:33:38Z","timestamp":1757176418000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00192-025-06186-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,31]]},"references-count":9,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["6186"],"URL":"https:\/\/doi.org\/10.1007\/s00192-025-06186-y","relation":{},"ISSN":["0937-3462","1433-3023"],"issn-type":[{"value":"0937-3462","type":"print"},{"value":"1433-3023","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,31]]},"assertion":[{"value":"6 March 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 May 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 May 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was approved after review from the institute quality improvement chair as a quality improvement project.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Institutional Review"}},{"value":"The authors declare that they have no conflict of interest.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}