Outcomes for abdominal myomectomies among high-volume surgeons

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

Outcomes for abdominal myomectomies among high-volume surgeons

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

Obstetrics/Gynecology

Research output: Contribution to journal › Article › peer-review

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 language	English (US)
Pages (from-to)	941-946
Number of pages	6
Journal	Journal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume	53
Issue number	12
State	Published - Dec 2008

Keywords

Abdominal myomectomy
Complications
Leiomyomas
Outcomes
Surgical volume

ASJC Scopus subject areas

Reproductive Medicine
Obstetrics and Gynecology

Cite this

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AU - Stewart, Elizabeth A.

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AB - 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.

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KW - Leiomyomas

KW - Outcomes

KW - Surgical volume

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Outcomes for abdominal myomectomies among high-volume surgeons

Abstract

Keywords

ASJC Scopus subject areas

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