Hysteroscopic myomectomy and case volume hysteroscopic myomectomy performed by high- and low-volume surgeons

Heleen E. Betjes, Miriam M.F. Hanstede, Marc Hans Emanuel, Elizabeth A. Stewart

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

OBJECTIVE: To determine whether surgical volume influences efficiency of hysteroscopic myomectomy as a treatment for uterine fibroids. STUDY DESIGN: This retrospective cross-sectional study performed at a university teaching hospital included all patients who underwent hysteroscopic myomectomy between 2001 and 2005 by a faculty surgeon. We used 3 outcomes as measures of efficiency: amount of tissue resected per case, operating department time per case and amount of tissue resected per minute. RESULTS: High-volume surgeons resected more tissue than low-volume surgeons (p = 0.01), had shorter operating department times (p = 0.018) and resected more tissue per time (p = 0.015). CONCLUSION: High-volume surgeons have higher efficiency performing hysteroscopic myomectomy as a treatment for uterine fibroids.

Original languageEnglish (US)
Pages (from-to)425-428
Number of pages4
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume54
Issue number7
StatePublished - Jul 1 2009

Keywords

  • Hysteroscopy
  • Myomectomy
  • Surgical volume
  • Uterine fibroids

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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