Introduction/Background Length of hospital stay (LOS) is an index related to patient safety and costs to hospital and society. Patients who have shorter LOS tend to heal better with less costs. There is an increased need for improving efficiency in the post-operative care. Pressure for ward beds is increasing. Long inpatient stay contributes to lack of bed availability, theatre case cancellation and overworked staff.

Methodology We conducted a literature search of PubMed, Medline, Embase, and Cochrane library website and reviewed the most recent articles, meta-analysis and randomised trials on the subject to identify the standards. Aim for 75% LOS for 24 hours and overall average for less than 2 days. We conducted a retrospective audit to identify the factors that affect LOS at University Hospitals of Leicester (UHL) by reviewing the electronic records for patients who had minimally invasive hysterectomy surgery between June 2021 to June 2022.

Results It was noted that age, BMI, and Charlson Comorbidity Index were significantly higher in patients who had been diagnosed with cancer compared to the benign group (P=0.005, 0.039,0.003 respectively).

There was no statistical significant difference between the mean of LOS in cancer (2.78 days) and benign cases (2.43 days) who underwent MIS(P=0.4165). Around 26% of patients who underwent MIS for treatment of cancer were discharged within 24 hours, compared to 41% of patients who had MIS for benign indication.

Conclusion 34% of patients who had MIS for hysterectomy met the target for discharge within 24 hours and around two-third of them were for benign indication. Age, BMI and co-morbidities were the most pertinent factors in cancer group. A lot of factors affect the LOS in patients undergoing Laparoscopic or robotic hysterectomy. Further research is recommended to look into these factors in larger studies.

Disclosures No conflict of interest to disclose.