title: Hysteroscopic myomectomy and case volume hysteroscopic myomectomy performed by high- and low-volume surgeons.
abstract: OBJECTIVE
  To determine whether surgical volume influences efficiency of hysteroscopic myomectomy as a treatment for uterine fibroids.
  
  
  METHODS
  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).
  
  
  CONCLUSIONS
  High-volume surgeons have higher efficiency performing hysteroscopic myomectomy as a treatment for uterine fibroids.
authors.affiliation: Department of Obstetrics and Gynecology, Spaarne Ziekenhuis, Hoofddorp, the Netherlands.
authors.forename: Heleen E
authors.initials: HE
authors.lastname: Betjes
authors.forename: Miriam M F
authors.initials: MM
authors.lastname: Hanstede
authors.forename: Marc-Hans
authors.initials: MH
authors.lastname: Emanuel
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Stewart
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D004526:Efficiency; D005260:Female; D006176:Gynecology; D006785:Hospitals, University; D006801:Humans; D007044:Hysterectomy / Q000379:methods / Q000706:statistics & numerical data*; D015907:Hysteroscopy / Q000706:statistics & numerical data*; D007889:Leiomyoma / Q000601:surgery*; D008875:Middle Aged; D009215:Myometrium / Q000601:surgery*; D012189:Retrospective Studies; D014594:Uterine Neoplasms / Q000601:surgery*; D016526:Workload