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Shorter hospital stays are a new trend in surgery. Bonnema et al
(p 1267) studied the effects of early discharge from hospital after
surgery for breast cancer in a randomised trial of 125 women. Satisfaction with the shorter stay was high, and the duration of
drainage from the axilla and the incidence of wound complications did
not differ in those who were discharged early and those who remained
until their drain was removed. The experience of psychosocial problems
was similar in the two groups, as were the coping strategies used.
Women who had shorter hospital stays were more likely to discuss their
illness with their family.