Facts, Fallacies and Finances – Making the Case for Vaginal Hysterectomy

Moen MD, Richter HE. Vaginal hysterectomy: past, present, and future. Int Urogynecol J. 2014;25(9):1161–5. https://doi.org/10.1007/s00192-014-2459-x.

Article  PubMed  Google Scholar 

Bretschneider CE, Jallad K, Paraiso MFR. Minimally invasive hysterectomy for benign indications: an update. Minerva Ginecol. 2017;69(3):295–303. https://doi.org/10.23736/S0026-4784.17.04017-5.

Article  PubMed  Google Scholar 

Jacoby VL, Autry A, Jacobson G, Domush R, Nakagawa S, Jacoby A. Nationwide use of laparoscopic hysterectomy compared with abdominal and vaginal approaches. Obstet Gynecol. 2009;114(5):1041–8. https://doi.org/10.1097/AOG.0b013e3181b9d222.

Article  PubMed  PubMed Central  Google Scholar 

Tyan P, Hawa N, Carey E, Urbina P, Chen FR, Sparks A, Amdur R, Moawad G. Trends and Perioperative Outcomes across Elective Benign Hysterectomy Procedures from the ACS-NSQIP 2007–2017. J Minim Invasive Gynecol. 2022;29(3):365-374.e2. https://doi.org/10.1016/j.jmig.2021.09.714.

Article  PubMed  Google Scholar 

ACOG Committee Opinion No. 444: choosing the route of hysterectomy for benign disease. Obstet Gynecol. 2009;114(5):1156–8. https://doi.org/10.1097/AOG.0b013e3181c33c72.

Article  Google Scholar 

Halder GE, Ferrando CA, Rogers R, Elhenawy C, Grimes CL, Balgobin S, Kho RM, Sokol AI. The Survey of Barriers for Vaginal Access Surgery Study. J Minim Invasive Gynecol. 2024;S1553–4650(24):01549–58. https://doi.org/10.1016/j.jmig.2024.12.002.

Article  Google Scholar 

Whiteside JL, Tumin D, Hildebrand JP, Harris A. Determinants of surgical approach for benign outpatient hysterectomy. J Minim Invasive Gynecol. 2024;31(2):123-130.e2. https://doi.org/10.1016/j.jmig.2023.11.009.

Article  PubMed  Google Scholar 

Lee SH, Oh SR, Cho YJ, Han M, Park JW, Kim SJ, Yun JH, Choe SY, Choi JS, Bae JW. Comparison of vaginal hysterectomy and laparoscopic hysterectomy: a systematic review and meta-analysis. BMC Womens Health. 2019;19(1):83. https://doi.org/10.1186/s12905-019-0784-4.

Article  PubMed  PubMed Central  Google Scholar 

Whiteside JL, Tumin D, Hohmann SF, Harris A. Determinants of cost for outpatient hysterectomy for benign indications in a nationwide sample. Obstet Gynecol. 2023;141(4):765–72. https://doi.org/10.1097/AOG.0000000000005109.

Article  PubMed  Google Scholar 

Whiteside JL, Kaeser CT, Ridgeway B. Achieving high value in the surgical approach to hysterectomy. Am J Obstet Gynecol. 2019;220(3):242–5. https://doi.org/10.1016/j.ajog.2018.11.124.

Article  PubMed  Google Scholar 

Woelk JL, Borah BJ, Trabuco EC, Heien HC, Gebhart JB. Cost differences among robotic, vaginal, and abdominal hysterectomy. Obstet Gynecol. 2014;123(2 Pt 1):255–62. https://doi.org/10.1097/AOG.0000000000000090.

Article  PubMed  PubMed Central  Google Scholar 

Dayaratna S, Goldberg J, Harrington C, Leiby BE, McNeil JM. Hospital costs of total vaginal hysterectomy compared with other minimally invasive hysterectomy. Am J Obstet Gynecol. 2014;210(2):120.e1-6. https://doi.org/10.1016/j.ajog.2013.09.028.

Article  PubMed  Google Scholar 

Bauer HH, Sahmoud A, Rhodes SP, Sheyn D. Inpatient hospital costs and route of hysterectomy for management of benign uterine disease in the 90-Day Global Billing Period. Obstet Gynecol. 2024;144(2):266–74. https://doi.org/10.1097/AOG.0000000000005643.

Article  PubMed  Google Scholar 

Quilici PJ, Wolberg H, McConnell N. Operating costs, fiscal impact, value analysis and guidance for the routine use of robotic technology in abdominal surgical procedures. Surg Endosc. 2022;36(2):1433–43. https://doi.org/10.1007/s00464-021-08428-8.

Article  PubMed  Google Scholar 

Wright JD, Herzog TJ, Tsui J, Ananth CV, Lewin SN, Lu YS, Neugut AI, Hershman DL. Nationwide trends in the performance of inpatient hysterectomy in the United States. Obstet Gynecol. 2013;122(2 Pt 1):233–41. https://doi.org/10.1097/AOG.0b013e318299a6cf.

Article  PubMed  PubMed Central  Google Scholar 

Wright JD, Huang Y, Li AH, Melamed A, Hershman DL. Nationwide estimates of annual inpatient and outpatient hysterectomies performed in the United States. Obstet Gynecol. 2022;139(3):446–8. https://doi.org/10.1097/AOG.0000000000004679.

Article  PubMed  Google Scholar 

Cutrer WB, Miller B, Pusic MV, Mejicano G, Mangrulkar RS, Gruppen LD, Hawkins RE, Skochelak SE, Moore DE. Fostering the development of master adaptive learners: a conceptual model to guide skill acquisition in medical education. Acad Med. 2017;92(1):70–5. https://doi.org/10.1097/ACM.0000000000001323.

Article  PubMed  Google Scholar 

Rogo-Gupta LJ, Lewin SN, Kim JH, Burke WM, Sun X, Herzog TJ, Wright JD. The effect of surgeon volume on outcomes and resource use for vaginal hysterectomy. Obstet Gynecol. 2010;116(6):1341–7. https://doi.org/10.1097/AOG.0b013e3181fca8c5.

Article  PubMed  Google Scholar 

Mowat A, Maher C, Ballard E. Surgical outcomes for low-volume vs high-volume surgeons in gynecology surgery: a systematic review and meta-analysis. Am J Obstet Gynecol. 2016;215(1):21–33. https://doi.org/10.1016/j.ajog.2016.02.048.

Article  PubMed  Google Scholar 

Buono K, Adams-Piper E, Gokhale K, Li Q, Guaderrama N, Whitcomb EL. Vaginal hysterectomy in a large health maintenance organization: retrospective application of a clinical algorithm. J Minim Invasive Gynecol. 2021;28(4):881–90. https://doi.org/10.1016/j.jmig.2020.08.004.

Article  PubMed  Google Scholar 

Doll KM, Milad MP, Gossett DR. Surgeon volume and outcomes in benign hysterectomy. J Minim Invasive Gynecol. 2013;20(5):554–61. https://doi.org/10.1016/j.jmig.2013.03.005.

Article  PubMed  Google Scholar 

Mehta A, Xu T, Hutfless S, Makary MA, Sinno AK, Tanner EJ 3rd, Stone RL, Wang K, Fader AN. Patient, surgeon, and hospital disparities associated with benign hysterectomy approach and perioperative complications. Am J Obstet Gynecol. 2017;216(5):497.e1-497.e10. https://doi.org/10.1016/j.ajog.2016.12.020.

Article  PubMed  Google Scholar 

Ruiz MP, Chen L, Hou JY, Tergas AI, St Clair CM, Ananth CV, Neugut AI, Hershman DL, Wright JD. Outcomes of hysterectomy performed by very low-volume surgeons. Obstet Gynecol. 2018;131(6):981–90. https://doi.org/10.1097/AOG.0000000000002597.

Article  PubMed  PubMed Central  Google Scholar 

Hall EF, Raker CA, Hampton BS. Variability in gynecologic case volume of obstetrician-gynecologist residents graduating from 2009 to 2017. Am J Obstet Gynecol. 2020;222(6):617.e1-617.e8. https://doi.org/10.1016/j.ajog.2019.11.1258.

Article  PubMed  Google Scholar 

Galvin D, O’Reilly B, Greene R, O’Donoghue K, O’Sullivan O. A national survey of surgical training in gynaecology: 2014–2021. Eur J Obstet Gynecol Reprod Biol. 2023;288:135–41. https://doi.org/10.1016/j.ejogrb.2023.07.013.

Article  PubMed  Google Scholar 

Ruple SM, Forstein DA, Barrow JC. Where is the surgical education of obstetrics and gynecology residents headed? Obstet Gynecol. 2015;126:46S. https://doi.org/10.1097/01.AOG.0000471069.14040.fb.

Article  Google Scholar 

https://www.acgme.org/globalassets/pfassets/programresources/obgyncaseloginfo.pdfAccessed 8/27/24

Antosh DD, Gutman RE, Iglesia CB, Sokol AI, Park AJ. Resident opinions on vaginal hysterectomy training. Female Pelvic Med Reconstr Surg. 2011;17(6):314–7. https://doi.org/10.1097/SPV.0b013e31823a08bf.

Article  PubMed  Google Scholar 

Jelovsek JE, Walters MD, Korn A, Klingele C, Zite N, Ridgeway B, Barber MD. Establishing cutoff scores on assessments of surgical skills to determine surgical competence. Am J Obstet Gynecol. 2010;203(1):81.e1-6. https://doi.org/10.1016/j.ajog.2010.01.073.

Article  PubMed  Google Scholar 

Zaritsky E, Tucker LS, Kandahari N, Ojo A, Ritterman Weintraub M, Raine-Bennett TR. Variation in vaginal hysterectomy rates in an integrated healthcare system. J Minim Invasive Gynecol. 2022;29(4):489–98. https://doi.org/10.1016/j.jmig.2021.11.007.

Article  PubMed  Google Scholar 

Keshavarz H, Hillis SD, Kieke BA, Marchbanks PA. Hysterectomy surveillance - United States, 1994–1999. MMWR Surveill Summ. 2002;51(SS05):1–8.

Google Scholar 

Alkatout I, Mechler U, Mettler L, Pape J, Maass N, Biebl M, Gitas G, Laganà AS, Freytag D. The development of laparoscopy-a historical overview. Front Surg. 2021;15(8): 799442. https://doi.org/10.3389/fsurg.2021.799442.

Article 

Comments (0)

No login
gif