Reducing costs of laparoscopic hysterectomy.
OBJECTIVE
To establish the role of laparoscopic hysterectomy using reuseable surgical equipment.


METHODS
Prospective, observational study (Canadian Task Force classification II-2).


METHODS
Tertiary major teaching hospital.


METHODS
Fifty consecutive women carefully selected for laparoscopic hysterectomy.


METHODS
The ultrasonically activated (harmonic) scalpel was used for coagulative cutting of pedicles and ligaments attached to the uterus and adnexa, backed by bipolar diathermy. No nonabsorbable material was left in the pelvis at the conclusion of the procedures.


RESULTS
Patient characteristics, uterine weight, histology, operating time, recovery, analgesic requirements, and hospital stay were recorded. Complications were noted and critically assessed for constructive quality assurance appraisal. Outcomes were satisfactory according to both patients and gynecologists.


CONCLUSIONS
This pilot study suggests that the method is an efficacious, cost-effective, and well-controlled technique of laparoscopic hysterectomy.
Erian
M
M
Department of Obstetrics and Gynecology, Queensland University, Brisbane, Australia.
McLaren
G R
GR
Buck
R J
RJ
Wright
G
G
D000328:Adult; D000368:Aged; D003363:Cost Control; D003362:Cost-Benefit Analysis; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000191:economics*; D010535:Laparoscopy / Q000009:adverse effects / Q000191:economics*; D007902:Length of Stay; D008875:Middle Aged; D010865:Pilot Projects; D011182:Postoperative Care; D011446:Prospective Studies