Outcomes for abdominal myomectomies among high-volume surgeons.
OBJECTIVE
To examine the relationship between surgical volume and complications and resource utilization for myomectomy.


METHODS
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.


CONCLUSIONS
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.
Hanstede
Miriam M F
MM
Department of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Emanuel
Mark Hans
MH
Stewart
Elizabeth A
EA
D000293:Adolescent; D000328:Adult; D001900:Boston / Q000453:epidemiology; D002983:Clinical Competence; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects* / Q000706:statistics & numerical data; D006801:Humans; D018231:Leiomyomatosis / Q000601:surgery*; D008875:Middle Aged; D012307:Risk Factors; D014594:Uterine Neoplasms / Q000601:surgery*; D014932:Women's Health Services / Q000706:statistics & numerical data; D016526:Workload; D055815:Young Adult