Outcomes for abdominal myomectomies among high-volume surgeons

Miriam M F Hanstede, Mark Hans Emanuel, Elizabeth A Stewart

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

OBJECTIVE: To examine the relationship between surgical volume and complications and resource utilization for myomectomy. STUDY DESIGN: This retrospective cross-sectional study in a university hospital setting (Brigham and Women's Hospital) analyzed 527 consecutive women with uterine fibroids who underwent abdominal myomectomy. A multivariate analysis was performed to determine the association between surgical volume and outcomes. RESULTS: There were no significant medical or surgical complications following myomectomy. However, high-volume surgeons did procedures significantly faster, they collected more tissue per time and their patients had less blood loss. CONCLUSION: The surgical volume of the physician does not affect the safety of abdominal myomectomy. However, high-volume surgeons had more efficient resource utilization than did physicians doing fewer cases.

Original languageEnglish (US)
Pages (from-to)941-946
Number of pages6
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume53
Issue number12
StatePublished - Dec 2008

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Uterine Myomectomy
Physicians
Leiomyoma
Multivariate Analysis
Cross-Sectional Studies
Safety
Surgeons

Keywords

  • Abdominal myomectomy
  • Complications
  • Leiomyomas
  • Outcomes
  • Surgical volume

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

Cite this

Outcomes for abdominal myomectomies among high-volume surgeons. / Hanstede, Miriam M F; Emanuel, Mark Hans; Stewart, Elizabeth A.

In: Journal of Reproductive Medicine for the Obstetrician and Gynecologist, Vol. 53, No. 12, 12.2008, p. 941-946.

Research output: Contribution to journalArticle

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