Increasing Minimally Invasive Hysterectomy

• DOI: 10.1097/aog.0b013e3182166055
• Publication Date: 2011-04-21T07:33:50Z
• Authors: Gudrun Maria Jons...; Selena Jorgensen; Sarah L. Cohen; Kelly N. Wright; Neel T. Shah; Niraj Chavan; Jon Ivar Einarsson
• Keywords: Minimally invasive procedures

In a 3-year period, the main mode of access for hysterectomy at Brigham and Women's Hospital changed from abdominal to laparoscopic. We estimated potential effects this shift on perioperative outcomes costs.We compared cost care all hysterectomies performed in 2006 2009 an urban academic tertiary center using χ² test or Fisher's exact categorical variables two-sided Student's t continuous variables. A multivariate regression analysis was also major across study groups. Cost data were gathered hospital's billing system; remainder extracted patients' medical records.This retrospective included 2,133 patients. The total number remained stable (1,054 procedures with 1,079 2009) but relative proportions laparoscopic cases markedly during period (64.7% 35.8% abdominal, P<.001; 17.7% 46% cases, P<.001). overall rate intraoperative complications minor postoperative decreased significantly (7.2% 4%, P<.002; 18% 5.7%, P<.001, respectively). Operative costs increased aside robotic hysterectomy, although no significant change noted mean costs.A majority minimally invasive accompanied by decrease procedure-related without increase costs.