Overview of Current Trends in Hysterectomy

Santiago Domingo; Antonio Pellicer

Disclosures

Expert Rev of Obstet Gynecol. 2009;4(6):673-685. 

In This Article

Cost–Effectiveness of Hysterectomy

Hysterectomy appears to be cost effective when compared with alternative conservative therapies (endometrial resection and ablation and medical therapy for menorrhagia) in long-term follow-up studies.[24] The relatively high probability of the need for future surgery following a conservative approach is of great relevance in the decision-making process.

Management of such a prevalent surgical procedure can have a transcendental impact on healthcare systems. The vaginal route is the most cost-effective approach and has been shown to be effective in a variety of indications. The Society of Pelvic Reconstructive Surgeons estimate a potential saving of US$1,184,000 for every 1000 hysterectomies performed via the vaginal route and a reduction in complications of approximately 20%, with the subsequential indirect economical benefits (e.g., hospital stay and early work incorporation).[25] The cost of LH is higher than that of other approaches, mainly owing to the additional cost of the disposable instruments that are employed.[26,27] However, this is a somewhat superficial interpretation, as it does not take into consideration the recovery of the patient, which is more rapid with this procedure. One must remember that it is also cost effective to reduce convalescence and, consequently, period of inpatient care.

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