A study shows that less invasive hysterectomies helped patients are cured and saved money Ottawa Hospital ;
a move by the Ottawa hospital to promote less invasive surgeries for women with severe gynecological problems has accelerated patient recovery led to fewer complications and hospital money is saved, according a study recently published in Journal of Obstetrics and Gynaecology of Canada .
In 2007, the Ottawa Hospital decided to become a national leader in minimally invasive surgery (MIS), a technique that uses small incisions rather than large used in traditional open surgery . Researchers at the Ottawa Hospital and the University of Ottawa found hospital investment ‘s on experience and MIS team made a big difference when it comes to hysterectomies surgery to remove the uterus.
hysterectomies are the most common surgery for Canadian women after caesarean section. In 2012 more than 40,000 women had their uterus, usually due to severe non-cancerous conditions as excessively heavy periods or painful growths called fibroids.
Traditionally hysterectomies are done through an incision in the abdomen, and women who undergo this surgery may take three to four days in the hospital and six to eight weeks in recovery. However, for hysterectomies MIS incisions half centimeter in length mean that women can go home within 24 hours.
“Patients who have had a minimally invasive hysterectomy are often surprised by the rapid recovery and minimal pain,” said lead author Dr. Sony Sukhbir Singh, Vice President, Gynecology, Department of Obstetrics and Gynecology Ottawa Hospital and Research Chair Elaine Jolly Gynecological Surgery.
“often can be recovered from the operation without using painkillers,” said Dr. Singh, who is also associate professor at the University of Ottawa professor. “To be able to see that compared with open hysterectomy, is night and day.”
D. study of 4,300 patients with non-cancerous hysterectomy treated at the Hospital of Ottawa from 2005 to 2012 showed Singh hospital investment experience and MIS team have paid off. In 2005, 40 percent of hysterectomies performed at the Ottawa Hospital were minimally invasive. By 2012, that number had increased to 74 percent.
“What we found was amazing. We basically changed the way we practice,” said lead author Dr. Jenna Gale an obstetrics and gynecology resident at the Ottawa Hospital and the University of Ottawa. “The most common surgery used to be done through a big cut. Today we have completely flipped that, and now the most common routes for all hysterectomies for women are minimally invasive throughout the Ottawa Hospital.”
The study also found that patients had fewer blood transfusions MIS, intestinal problems and blood clots than patients with traditional hysterectomy. The average hospital stay was also reduced from 2.5 to 1.6 days, saving 1898 hospital bed days. These faster recovery times mean the hospital was able to release all eight beds in gynecology wards for other types of surgeries.
“Today women are getting the best type of surgery done with the least amount of complications,” said Dr. Mark Walker, head of the Department of Obstetrics, Gynecology and newborn at the Ottawa Hospital and professor at the University of Ottawa. “From the patient’s perspective it means less pain, faster recovery and faster return to work or normal activities. It is an incredible benefit to them.”
surgeons Over the past 10 years have recommended medical guidelines choose minimally invasive hysterectomy whenever possible. However, the adoption of this practice has been slow in Canada, where 54 percent of hysterectomies are performed abdominally in 2008.
Dr. Singh says more medical barriers to adopting MIS hysterectomies include lack of training, the perceived difficulty of the procedure and the cost of equipment. However, their study found that while the team of MIS could cost more initially, the procedure itself costs less. On average a traditional hysterectomy hospital costs $ 7,200, while less invasive vaginal and laparoscopic methods cost $ 4,500 and $ 5,600, respectively. SINGH MY estimated hysterectomies save the hospital about $ 200,000 a year.
Given the benefits of hysterectomies MIS, Dr. Singh hopes that will become more widespread across Canada, and more women to apply the procedure.
“I just hope we can see this happening across the country, on a larger scale,” said Dr. Singh. “The will is there, but we have to encourage others to adopt minimally invasive techniques.”
This article was originally published on medicalxpress, Read the original article
Posted in: Obstetrics & gynaecology