Decline in surgeon volume after successful implementation of advanced laparoscopic surgery in gynecology: An undesired side effect?

Abstract

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Vaginal assisted NOTES hysterectomy in The Netherlands; A prospective cohort study

“…Vaginal hysterectomy (VH) is the preferred approach when feasible [3] . Since the introduction and implementation of the laparoscopic hysterectomy (LH), a decrease in performed VH was observed in The Netherlands (36 % in 2007 to 19 % in 2017) [5] , [6] .…”

Vaginal hysterectomy versus vaginal assisted NOTES hysterectomy (VANH): a protocol for a randomised controlled trial

“…1 2 In the Netherlands they yearly perform about 8000 hysterectomies. 3 The most common benign indications to perform a hysterectomy are uterine leiomyomas (51.4%), abnormal uterine bleeding (41.7%), endometriosis (30%) and prolapse (18.2%). 2 4-6 The four approaches to perform a hysterectomy for a benign disease are abdominal hysterectomy (AH), vaginal hysterectomy (VH), (total) laparoscopic hysterectomy ((T) LH) and robotic-assisted hysterectomy.…”

“…Hysterectomy is one of the most performed gynaecological surgeries worldwide 1 2. In the Netherlands they yearly perform about 8000 hysterectomies 3. The most common benign indications to perform a hysterectomy are uterine leiomyomas (51.4%), abnormal uterine bleeding (41.7%), endometriosis (30%) and prolapse (18.2%) 2 4–6…”