American Journal of Obstetrics and Gynecology
ResearchGeneral gynecologyHospital costs of total vaginal hysterectomy compared with other minimally invasive hysterectomy
Section snippets
Materials and Methods
The study proposal received approval from the Thomas Jefferson University Institutional Review Board. All the authors were on staff at the institution at the time of data collection.
We performed a retrospective chart review for patients who had undergone TVH, LAVH, TLH, or RH for benign indications between Jan. 1, 2007, and April 30, 2010, at Thomas Jefferson University Hospital (TJUH), using International Classification of Diseases, ninth revision, Clinical Modification, procedure codes.
We
Results
Our search resulted in a total of 339 minimally invasive hysterectomies performed at our institution during the study period. Four cases were excluded because no data existed on uterine size. One case was subsequently discovered to be an adenocarcinoma of the uterus and excluded. This left a total of 334 cases in our initial analysis.
We identified 185 total vaginal hysterectomies, 55% of all minimally invasive hysterectomies, 110 LAVHs (33%), 9 TLHs (3%), and 30 RHs (9%).
Total hospital costs,
Comment
This study shows a substantial cost savings and increased net hospital income for TVH over other kinds of minimally invasive hysterectomy. Robotic hysterectomy was the most expensive mode of hysterectomy, with the greatest financial loss to the hospital. Our analysis did not include the approximately $2.5 million purchase cost of the DaVinci robot (Intuitive Surgical, Sunnyvale, CA). This would further significantly increase the per-case cost of this technology and underscores the significance
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The authors report no conflict of interest.
Cite this article as: Dayaratna S, Goldberg J, Harrington C, et al. Hospital costs of total vaginal hysterectomy compared with other minimally invasive hysterectomy. Am J Obstet Gynecol 2014;210:120.e1-6.