Robotic hysterectomy usage up for benign disease

Robotic hysterectomy usage up for benign disease
The use of robotic hysterectomy procedures has significantly increased, according to a study published online Sept. 11 in Obstetrics & Gynecology.

(HealthDay)—The use of robotic hysterectomy procedures has significantly increased, according to a study published online Sept. 11 in Obstetrics & Gynecology.

Eric B. Rosero, M.D., from the University of Texas Southwestern Medical Center in Dallas, and colleagues utilized the 2010 Nationwide Inpatient Sample to identify matched cohorts of women undergoing robotic and laparoscopic hysterectomy for benign disease.

The researchers found that there were 804,551 hysterectomies performed for benign conditions, of which 20.6 percent were laparoscopic and 5.1 percent were robotically assisted. The use of robotic hysterectomy for minimally invasive procedures increased significantly, from 9.5 to 13.6 percent from 2009 to 2010. The overall complication rates were similar between robotic and laparoscopic hysterectomy (8.80 versus 8.85 percent; relative risk, 0.99; P = 0.910); however, the incidence of blood transfusions was significantly lower in robotic cases (2.1 versus 3.1 percent; P < 0.001), while patients undergoing robotic hysterectomy were more likely to experience postoperative pneumonia (relative risk, 2.2; P = 0.005). Robotic hysterectomy patients had significantly higher median hospital care costs (an average of $2,489 higher) compared to those undergoing laparoscopic procedures.

"Perioperative outcomes are similar between laparoscopic and robotic , but robotic cases cost substantially more," the authors write.

One author disclosed financial ties to the pharmaceutical industry.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Laparoscopic hysterectomy rates on rise over past decade

Apr 16, 2013

(HealthDay)—The rate of laparoscopic hysterectomy has greatly increased over the past decade and is now higher than that of abdominal hysterectomy, according to a study in the April issue of the American Jo ...

Approach to hysterectomy varies despite advances

Apr 01, 2013

(Medical Xpress)—By age 65, one-third of women in the United States will have a hysterectomy, an operation to remove the uterus. Most women will undergo a traditional abdominal hysterectomy, despite advances in minimally ...

OB/GYNs told robot hysterectomy not best option

Mar 14, 2013

Pricey robotic surgery should not be the first or even second choice for most women who need a hysterectomy, says advice issued Thursday to doctors who help those women decide.

Recommended for you

High-intensity ultrasound OK for cesarean scar pregnancy

Oct 09, 2014

(HealthDay)—High-intensity focused ultrasound (HIFU) can play a role in treating cesarean scar pregnancy (CSP), according to a small study published in the October issue of the American Journal of Obstetrics & ...

Timing of epidural is up to the mother

Oct 08, 2014

When a woman is in labour, the appropriate time to give an epidural during childbirth is when she asks for it, a new study suggests. Published in The Cochrane Library, the systematic review compared early and late epidur ...

User comments