Skip Navigation


Hum. Reprod. Advance Access originally published online on January 31, 2008
Human Reproduction 2008 23(4):840-845; doi:10.1093/humrep/den006
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF ) Freely available
Right arrow All Versions of this Article:
23/4/840    most recent
den006v1
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (4)
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Brummer, T. H.I.
Right arrow Articles by Härkki, P. S.M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Brummer, T. H.I.
Right arrow Articles by Härkki, P. S.M.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author 2008. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

National learning curve for laparoscopic hysterectomy and trends in hysterectomy in Finland 2000–2005

Tea H.I. Brummer1,3, Tomi T. Seppälä2 and Päivi S.M. Härkki1

1 Department of Obstetrics and Gynecology, Helsinki University Central Hospital, PO Box 140, Helsinki, 00029 HUS, Finland 2 Helsinki School of Economics, PO Box 1210, 00101 Helsinki, Finland

3 Correspondence address. E-mail: tea.brummer{at}hus.fi

BACKGROUND: Complications of laparoscopic hysterectomy (LH) have been evaluated with particular focus on quantities of urinary tract injuries. An earlier survey in the 1990s on LH in Finland indicated a decreasing trend in complications; our aim was to evaluate the current complications and hysterectomy trends.

METHODS: All hysterectomies in Finland performed for benign indication from 2000 to 2005 (n = 56 130) were included, data were obtained from the Finnish hospital care register. All major complications reported on LH were analysed; the data were collected retrospectively from the Patient Insurance Centre.

RESULTS: In 2000, the proportion of abdominal hysterectomy (AH) was 38%, vaginal hysterectomy (VH) 37% and LH 25%, whereas in 2005, the proportions were 26%, 45% and 29%, respectively. The overall incidence of major complications in LHs from 1992 to 1999 (LH n = 13 885) was 1.8% and from 2000 to 2005 (LH n = 13 942) it decreased to 1.0%. During the same time, urinary tract injuries decreased from 1.4% to 0.7%; in detail ureteral injuries decreased from 0.9% to 0.3%.

CONCLUSIONS: Laparoscopic and VHs have become more common in Finland than AH. Continuous instruction and training of the Finnish gynaecological surgeons has helped to diminish major complication rates and it seems that in LH, a plateau on the learning curve has been reached.

Key words: hysterectomy/laparoscopic hysterectomy/learning curve/complication/ureteral injuries

Submitted on October 9, 2007; resubmitted on December 27, 2007; accepted on January 8, 2008.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Hum ReprodHome page
T. H.I. Brummer, J. Jalkanen, J. Fraser, A.-M. Heikkinen, M. Kauko, J. Makinen, U. Puistola, J. Sjoberg, E. Tomas, and P. Harkki
FINHYST 2006--national prospective 1-year survey of 5 279 hysterectomies
Hum. Reprod., October 1, 2009; 24(10): 2515 - 2522.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.