Impact of Surgical Experience on Hysterectomy Outcomes; A Venture to Improve the Linear Curve, Surgical Outcome, and Cost-Effectiveness: A Retrospective Study

Abstract

Objectives: This study aimed to highlight the influence of surgical experience in performing the abdominal hysterectomy and improving the linear curve of skills. Materials and Methods: This retrospective study was conducted on 245 women who underwent hysterectomy at Jordan University Hospital, Amman, Jordan, from January 2017 to 2019. The gravidity, parity, age, body mass index, the cause and type of the hysterectomy, duration of surgery, need to blood transfusion, estimated blood loss, time of hospital stay, intraoperative and postoperative complications, and the histopathology results were extracted from records of the participants and analyzed. Results: This study showed that the leading cause of hysterectomy in participants was abnormal vaginal bleeding. The most common type of hysterectomy was simple abdominal hysterectomy with a mean operation time of 1 hour 12 minutes. In total, 25.6% of women received packaged red blood cells, the main cause of which was preoperative anemia (17.5%). These results reflect an improvement in the linear curve of learning surgical skills. Conclusions: Our results portrayed the improvement of the surgical technique gained through performing abdominal hysterectomy expressively leading to a lessening in operative time compared with time while using a traditional technique, a decline in the total cost of surgery, and a decreased number in the surgical threads used in each operation. Surgical expertise can be appraised via many clinical parameters; mean operative time, complication rates, and other outcome measures. The expansion of surgical skills and the steadfastness of the medical team were a direct cause of these results.