RT Journal Article
T1 Healthcare and Indirect Cost of the Laparoscopic vs. Vaginal Approach in Benign Hysterectomy
A1 Martínez-Maestre, María A.
A1 Jódar-Sánchez, Francisco
A1 Calderón-Cabrera, Ana M.
A1 González-Cejudo, Carmen
A1 Silván-Alfaro, José M.
A1 Melero-Cortés, Lidia María
K1 Útero - Cirugía - Costes
AB Background and objectives: 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.Methods: 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.Results: 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 <0.001). Indirect costs due to lost-work-productivity were the most important, represented by 97.7% in the vaginal group and 93.6% in the laparoscopic group.Conclusion: 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.
PB Society of Laparoscopic & Robotic Surgeons
YR 2022
FD 2022-07
LK https://hdl.handle.net/10630/33602
UL https://hdl.handle.net/10630/33602
LA eng
NO Martínez-Maestre, M. Á., Jódar-Sánchez, F., Calderón-Cabrera, A. M., González-Cejudo, C., Silván-Alfaro, J. M., & Melero-Cortés, L. M. (2022). Healthcare and Indirect Cost of the Laparoscopic vs. Vaginal Approach in Benign Hysterectomy. JSLS : Journal of the Society of Laparoendoscopic Surgeons, 26(3), e2022.00048. https://doi.org/10.4293/JSLS.2022.00048
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 19 ene 2026