Observational studyJSLS : Journal of the Society of Laparoendoscopic Surgeons
Minimally invasive specialists and rates of laparoscopic hysterectomy.
Observational study in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 44 citations in OpenAlex.
- Modified first-level reconstruction and reinforcement during laparoscopic total hysterectomy for prevention of post-operative pelvic organ prolapse: a randomized clinical trial.African health sciences · 2024Trial
- Article
- Trends of Minimally Invasive Hysterectomy: Five Years of Experience.Obstetrics and gynecology international · 2025Article
- Article
- Trends in surgical approaches and adnexal surgeries during hysterectomies for benign diseases between 2015-2021.Frontiers in surgery · 2023Article
- Evaluation of the efficacy and safety of intradermal needle therapy on the sleep quality of patients following laparoscopic hysterectomy: study protocol for a randomized controlled trial.Annals of translational medicine · 2022Article
- Cost effectiveness analysis of total laparoscopic hysterectomy versus total abdominal hysterectomy for uterine fibroids in Western China: a societal perspective.BMC health services research · 2022Article
- Racial/Ethnic Differences in the Risk of Surgical Complications and Posthysterectomy Hospitalization among Women Undergoing Hysterectomy for Benign Conditions.Journal of minimally invasive gynecology · 2021Article
- Feasibility and safety of total laparoscopic hysterectomy for uteri weighing from 1.5 kg to 11.000 kg.Archives of gynecology and obstetrics · 2021Article
- Association of demographic, clinical, and hospital-related factors with use of robotic hysterectomy for benign indications: A national database study.The international journal of medical robotics + computer assisted surgery : MRCAS · 2020Article
- Comparing benign laparoscopic and abdominal hysterectomy outcomes by time.Surgical endoscopy · 2020Article
- Time Intervals Between Prior Cervical Conization and Posterior Hysterectomy Influence Postoperative Infection in Patients with Cervical Intraepithelial Neoplasia or Cancer.Medical science monitor : international medical journal of experimental and clinical research · 2018Article
- Trends in Route of Hysterectomy after the Implementation of a Comprehensive Robotic Training Program.Minimally invasive surgery · 2018Article
- Entry into the peritoneal cavity in posthysterectomy prolapse: an educational video.International urogynecology journal · 2017Article
- Surgical technique of concomitant laparoscopically assisted vaginal hysterectomy and laparoscopic cholecystectomy.Clujul medical (1957) · 2017Article
- Impact of Chronic Obstructive Pulmonary Disease on Laparoscopic Hysterectomy Outcome.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
- Racial/Ethnic Disparities/Differences in Hysterectomy Route in Women Likely Eligible for Minimally Invasive Surgery.Journal of minimally invasive gynecologyArticle
- Laparoscopic hysterectomy for large uteri: Outcomes and techniques.Journal of minimal access surgeryArticle
- Complication Rate of Laparoscopic Hysterectomies in Denmark, 2011-2016.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectiveDespite the prevalence of hysterectomy for treatment of benign gynecologic conditions, providers nationwide have been slow to adopt minimally-invasive surgical techniques. Our objective is to investigate the impact of a department for minimally invasive gynecologic surgery (MIGS) on the rate of laparoscopic hysterectomy at an academic community hospital without robotic technology.
methodsThis retrospective observational study included all patients who underwent hysterectomy for benign indications from January 1, 2004, through December 31, 2012. The primary outcome was route of hysterectomy: open, laparoscopic, or vaginal. Secondary outcomes of interest included length of stay and factors associated with an open procedure.
resultsIn 2004, only 24 (8%) of the 292 hysterectomies performed for benign conditions at Newton-Wellesley Hospital (NWH) were laparoscopic. The rate increased to more than 50% (189/365) by 2008, and, in 2012, 72% (316/439) of hysterectomies were performed via a traditional laparoscopic approach. By 2012, more than 93% (411/439) of all hysterectomies were performed in a minimally invasive manner (including total laparoscopic hysterectomy [TLH], laparoscopic supracervical hysterectomy [LSH], total vaginal hysterectomy [TVH], and laparoscopy-assisted vaginal hysterectomy [LAVH]). More than 85% of the hysterectomies at NWH in 2012 were outpatient procedures. By this time, the surgeon's preference or lack of expertise was rarely cited as a factor leading to open hysterectomy.
conclusionsA large diverse gynecologic surgery department transformed surgical practice from primarily open hysterectomy to a majority (>72%) performed via the traditional laparoscopic route and a large majority (>93%) performed in a minimally invasive manner in less than 8 years, without the use of robotic technology. This paradigm shift was fueled by patient demand and by MIGS department surgical mentorship for generalist obstetrician/gynecologists.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.