Journal of minimally invasive gynecology
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J Minim Invasive Gynecol · May 2014
Clinical TrialUltrasound-guided percutaneous microwave ablation for submucosal uterine fibroids.
To prospectively evaluate the efficiency and safety of ultrasound-guided percutaneous microwave ablation (PMWA) in treating symptomatic submucosal uterine myomas. ⋯ PMWA seems to be effective and safe for treatment of submucosal myomas.
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J Minim Invasive Gynecol · May 2014
Comparative StudyA comparison of quality outcome measures in patients having a hysterectomy for benign disease: robotic vs. non-robotic approaches.
To measure procedure-related hospital readmissions within 30 days after discharge for patients who have a hysterectomy for benign disease. Secondary outcome quality measures evaluated were cost, estimated blood loss, length of stay and sum of costs associated with readmissions. ⋯ Patients who undergo robotic-assisted laparoscopic hysterectomy have a significantly lower chance of readmission <30 days after surgery compared with those who undergo laparoscopic, abdominal (open) hysterectomy, and vaginal approaches. Patients in the robotics cohort also experienced a shorter length of stay, less estimated blood loss, and a cost savings associated with readmissions when compared to non-robotic approaches. Prospective registries describing quality outcomes, total sum of costs including 30 days follow-up, as well as patient-related quality of life benefits are recommended to confirm these findings and determine which surgical route offers the highest patient and societal value.