Outcomes for abdominal myomectomies among high-volume surgeons

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

Research output: Contribution to journalArticle

12 Scopus citations

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 1 2008

Keywords

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

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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