Surgical approach to hysterectomy and barriers to using minimally invasive methods

Publication Type:
Journal Article
Australian and New Zealand Journal of Obstetrics and Gynaecology, 2018, 58 (6), pp. 690 - 695
Issue Date:
Full metadata record
© 2018 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists Minimally invasive approaches to hysterectomy have been shown to be safe, effective and have recovery advantages over open hysterectomy, yet in Australia 36% of hysterectomies are still conducted by open surgery. In 2006, a survey of Australian gynaecological specialists found the main impediment to increasing laparoscopic hysterectomy to be a lack of surgical skills training opportunities. We resurveyed specialists to explore contemporary factors influencing surgeons’ approaches to hysterectomy; 258 (estimated ~19%) provided analysable responses. Despite >50% of surveyed specialists wishing to practise laparoscopic hysterectomy in the future, lack of surgical skills, arising from the lack of training opportunities, remains the main impediment.
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