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Updated: Jun 20, 2026
Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
Hysteroscopic myomectomy and case volume hysteroscopic myomectomy performed by high- and low-volume surgeons
Heleen E Betjes1, Miriam M F Hanstede, Marc-Hans Emanuel
1Department of Obstetrics and Gynecology, Spaarne Ziekenhuis, Hoofddorp, the Netherlands.
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.
