Hysteroscopic myomectomy and case volume hysteroscopic myomectomy performed by high- and low-volume surgeons

OBJECTIVE: To determine whether surgical volume influences efficiency of hysteroscopic myomectomy as a treatment for uterine fibroids. STUDY DESIGN: This retrospective cross-sectional study performed at a university teaching hospital included all patients who underwent hysteroscopic myomectomy between 2001 and 2005 by a faculty surgeon. We used 3 outcomes as measures of efficiency: amount of tissue resected per case, operating department time per case and amount of tissue resected per minute. RESULTS: High-volume surgeons resected more tissue than low-volume surgeons (p = 0.01), had shorter operating department times (p = 0.018) and resected more tissue per time (p = 0.015). CONCLUSION: High-volume surgeons have higher efficiency performing hysteroscopic myomectomy as a treatment for uterine fibroids.