AI Article Synopsis
- - The study aimed to assess how well operative laparoscopy is being implemented in gynecology across hospitals in the Netherlands, using a 2003 survey sent to 102 hospitals to gather data on various laparoscopic procedures.
- - A high response rate of 79% showed that while the use of level 2 laparoscopic procedures has grown, certain procedures like laparoscopic hysterectomy still have low acceptance rates, and only a small percentage of hysterectomies were performed laparoscopically.
- - Overall, the findings indicate that even though there has been an increase in the number of laparoscopic surgeries over the past decade, the acceptance and implementation of these procedures remain limited, suggesting a slow progression in the field
Article Abstract
Objective: To evaluate and update the current status of the implementation of operative laparoscopy in gynaecology in The Netherlands by assessing diffusion and acceptance of each specific procedure per hospital.
Study Design: In 2003 a questionnaire was sent to all hospitals (n = 102), which addressed the total number and type of laparoscopic procedures performed in 2002 stratified by level of difficulty (level 1: diagnostic laparoscopy, sterilization, tubal patency tests; level 2: adhesiolysis, ectopic pregnancy (EP), laparoscopic treatment of endometriosis, cystectomy, oophorectomy, LAVH, tubal surgery for infertility; level 3: myomectomy, total laparoscopic hysterectomy (TLH) and sacropexy). Data were compared to previously published data of 1994.
Results: Response rate was 79% (81/102). Diffusion and acceptance of level 2 procedures increased significantly, except endometriosis and tubal surgery for infertility. Diffusion of LAVH was only 58%. Four percent of hysterectomies were LAVH. TLH and sacropexy were not performed. The diffusion of myomectomy increased significantly (p = 0.01), whereas its acceptance remained low.
Conclusions: Although the diffusion of operative procedures has increased over the last decade, acceptance is still limited, especially for laparoscopic hysterectomy. The implementation of operative gynaecological laparoscopy in The Netherlands seems to develop at a slow pace.
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| http://dx.doi.org/10.1016/j.ejogrb.2006.01.019 | DOI Listing |
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