RT Journal Article
T1 Healthcare and Indirect Cost of the Laparoscopic vs. Vaginal Approach in Benign Hysterectomy.
A1 Martínez-Maestre, María Ángeles
A1 Jódar-Sánchez, Francisco
A1 Calderón-Cabrera, Ana María
A1 González-Cejudo, Carmen
A1 Silván-Alfaro, José Manuel
A1 Melero-Cortés, Lidia María
K1 Gynecologic Diseases
K1 Health Care Costs
K1 Indirect Expenditures
K1 Laparoscopic Surgery
K1 Vaginal Hysterectomy
AB The aim of this study was to analyze indirect costs of vaginal and laparoscopic routes for hysterectomy to determine whether this makes a difference in total costs when considering route for surgery. A five-year observational retrospective cohort study was conducted in an academic tertiary care center. A total of 517 patients scheduled for total laparoscopic hysterectomy (n = 137) and vaginal hysterectomy (n = 380) for benign conditions between January 1, 2008 and December 31, 2012 meeting inclusion criteria were reviewed. Indirect costs were higher in the vaginal hysterectomy group compared to the laparoscopic hysterectomy group (mean cost €3,239.86 vs. €1,371.58; cost increase of €1,868.28; p  Among women undergoing hysterectomy for benign disease, laparoscopic hysterectomy appears to be superior to vaginal hysterectomy when indirect costs are analyzed in a five-year temporal horizon. Laparoscopic hysterectomy is a good alternative to vaginal hysterectomy when technically feasible as both present comparable advantages. The surgical approach to hysterectomy should be decided in light of the relative benefits and hazards, which will depend on clinical circumstances and surgical expertise.
YR 2022
FD 2022
LK http://hdl.handle.net/10668/21640
UL http://hdl.handle.net/10668/21640
LA en
DS RISalud
RD Apr 10, 2025