Hysteroscopic myomectomy and case volume hysteroscopic myomectomy performed by high- and low-volume surgeons.
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.
Betjes
Heleen E
HE
Department of Obstetrics and Gynecology, Spaarne Ziekenhuis, Hoofddorp, the Netherlands.
Hanstede
Miriam M F
MM
Emanuel
Marc-Hans
MH
Stewart
Elizabeth A
EA
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