3.8 Article

Laparoscopic hysterectomy for benign pathology in a tertiary university hospital: Analysis and evolution in a period of 8 years

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ELSEVIER ESPANA
DOI: 10.1016/j.gine.2023.100914

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Laparoscopic hysterectomy; Learning curve; Subspecialisation

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By analyzing the data of hysterectomies, it is important to limit laparoscopic hysterectomies to a limited number of professionals in order to ensure surgical quality.
Objective: To reflect from the analysis of the data of the number of laparoscopic hysterectomies that each member of a gynaecology service of a tertiary hospital can perform on the convenience of limiting this procedure to a limited number of professionals. Material and methods: Retrospective, descriptive study on hysterectomies performed for any indication in our hospital in the period between May 1, 2014 and April 30, 2022. Results: In this period, we have performed 1548 hysterectomies of which 760 were performed laparoscopically and of these, 289 were indicated for benign pathology. Considering the total number of professionals that make up the pool of surgeons who perform surgery for benign pathology, the average number of laparoscopic hysterectomies per surgeon per year would be 1.4 cases. Conclusions: To ensure adequate quality of surgery, the number of professionals performing laparoscopic hysterectomies in a tertiary hospital should be limited. (c) 2023 Elsevier Espania, S.L.U. All rights reserved.

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