Gynecology

Gynecology Resources for Payors

Learn more about minimally invasive gynecology procedures and their benefits/risks with these resources:

Minimally Invasive Procedures (MIP) Value Dossier

This MIP Value Dossier provides a clinical overview of minimally invasive surgical procedures (MIP) as used in four distinct clinical indications: hysterectomy, appendectomy, cholecystectomy, and colectomy. In addition, a comparison of key clinical and economic outcomes in these settings with MIP vs. conventional open surgical approaches, as reported in recent published clinical trials, is presented.

The Effects of Laparoscopic Cholecystectomy, Hysterectomy, and Appendectomy on Nosocomial Infection Risks

Minimally invasive hysterectomy and cholecystectomy are shown to be associated with lower infection rates, fewer complications, shorter hospital stays, and lower expenditures than open surgery. For more details, review the retrospective database analysis of over 11,000 patients that examined the effect of MIP vs. open procedures on the rate of nosocomial infections for three procedures: Cholecystectomy, Hysterectomy and Appendectomy.

  • Brill A, Ghosh K, Gunnarsson C et al. The effects of laparoscopic cholecystectomy, hysterectomy, and appendectomy on nosocomial infection risks. Surgical Endoscopy. 2008; 22(4):1112-8. PubMed Link

Minimally Invasive Surgery and Reimbursement

Differences have been found between minimally invasive surgery vs. open procedures for shorter hospital length of stay, quicker return to work and return to normal activities. For more details, review the study of over 112 clinical papers regarding the following MIP Procedures: Cholecystectomy, Appendectomy, Colectomy, Hysterectomy, Ventral Hernia Repair and Fundoplication.

  • Adam R. Roumm, MSPH, Laura Pizzi, PharmD, MPH, Neil I. Goldfarb, and Herbert Cohn, MD. Minimally Invasive: Minimally Reimbursed? An Examination of Six Laparoscopic Surgical Procedures Surgical Innovation. Vol 12, No 3 (September), 2005: pp 261-287. PubMed Link

Minimally Invasive Surgery and Hysterectomy

Minimally invasive hysterectomies (laparoscopic or vaginal approach) have been shown to improve clinical and economic outcomes versus an open abdominal approach. For more details, review the findings of a retrospective study, using a large U.S. managed care plan database.

  • Warren L, Ladapo JA, Borah BJ, et al, Open Abdominal versus Laparoscopic and Vaginal Hysterectomy: Analysis of a Large United States Payer Measuring Quality and Cost of Care. Journal of Minimally Invasive Gynecology. Sept.Oct.2009. Vol 16 No.5. PubMed Link

AAGL (American Association of Gynecologic Laparoscopists)

AAPPO (American Association of Preferred Provider Organizations)
Evidence Based Benefit Design for Women’s Health Initiatives, looks at the topics of Women’s Health and provides considerations and guidance for PPO's.

Read about PPO strategies to increase evidenced-based utilization of minimally invasive procedures.

Credentialing Guidelines for Operative Endoscopy

Gynecology Resources for Employers

Share these resources with your employees and health plan members to help them understand the facts about their possible options for minimally invasive gynecology procedures:

Government Resources

For patient tutorials on hysterectomy, in both slideshow and text-only formats

Information on Gynecology Topics

Pelvichealthsolutions.com
This site, brought to you by Ethicon Women's Health & Urology, a division of Ethicon Inc., a Johnson & Johnson company, provides innovative solutions for common women's health problems and valuable, easy-to-understand information.

Overview: Hysterectomy
Information from Gynecare Worldwide about laparoscopic supracervical hysterectomy.

MedlinePlus – Hysterectomy

AAGL (American Association of Gynecologic Laparoscopists)

American College of Obstetricians and Gynecologists (ACOG)
ACOG is a non-profit organization and is the nation's leading group of professionals providing healthcare for women. Their goals include promoting patient education and stimulating patient understanding of, and involvement in, medical care.