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Outcomes for abdominal myomectomies among high-volume surgeons
Miriam M F Hanstede1, Mark Hans Emanuel, Elizabeth A Stewart
1Department of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
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.
