title: Current Issues with Hysterectomy.
abstract: Hysterectomy is one of the most common gynecologic surgeries. Early adoption of surgical advancements in hysterectomies has raised concerns over safety, quality, and costs. The risk of potential leiomyosarcoma in women undergoing minimally invasive hysterectomy led the US Food and Drug Administration to discourage the use of electronic power morcellator. Minimally invasive hysterectomies have increased substantially despite lack of data supporting its use over other forms of hysterectomy and increased costs. Health care reform is incentivizing providers to improve quality, improve safety, and decrease costs through standardized outcomes and process measures.
authors: Department of Obstetrics and Gynecology, Sanford School of Medicine, The University of South Dakota, Vermillion, SD, USA; Department of Internal Medicine, Sanford School of Medicine, The University of South Dakota, Vermillion, SD, USA; Avera McKennan Hospital and University Center, Sioux Falls, SD, USA. Electronic address: Matthew.Barker@Avera.org.
authors: Matthew A
authors: MA
authors: Barker
mesh_terms: D005260:Female; D018166:Health Care Reform; D006801:Humans; D007044:Hysterectomy / Q000379:methods / Q000639:trends; D010535:Laparoscopy / Q000639:trends; D007890:Leiomyosarcoma / Q000601:surgery*; D006278:Medicare; D000069577:Morcellation / Q000009:adverse effects*; D011183:Postoperative Complications / Q000601:surgery*; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000639:trends; D014481:United States; D014594:Uterine Neoplasms / Q000601:surgery*
keywords: Health care reform; Hysterectomy; Morcellation; Quality; Reimbursement