Operative laparoscopy in The Netherlands: Diffusion and acceptance

Abstract Objective To evaluate and update the current status of the implementation of operative laparoscopy in gynaecology in The Netherlands by assessing diffusion and acceptance of each specific procedure per hospital. Study design In 2003 a questionnaire was sent to all hospitals ( n = 102), whic...

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Bibliographic Details
Published in:European journal of obstetrics & gynecology and reproductive biology 2007-02, Vol.130 (2), p.245-248
Main Authors: Kolkman, Wendela, Trimbos-Kemper, Trudy C.M, Jansen, Frank Willem
Format: Article
Language:English
Subjects:
Acceptance
Advanced procedures
Biological and medical sciences
Diffusion
Diffusion of Innovation
Female
Genital Diseases, Female - surgery
Gynaecological laparoscopy
Gynecologic Surgical Procedures - utilization
Gynecology. Andrology. Obstetrics
Health Care Surveys
Humans
Implementation
Laparoscopy - utilization
Medical sciences
Netherlands
Obstetrics and Gynecology
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Summary:Abstract Objective To evaluate and update the current status of the implementation of operative laparoscopy in gynaecology in The Netherlands by assessing diffusion and acceptance of each specific procedure per hospital. Study design In 2003 a questionnaire was sent to all hospitals ( n = 102), which addressed the total number and type of laparoscopic procedures performed in 2002 stratified by level of difficulty (level 1: diagnostic laparoscopy, sterilization, tubal patency tests; level 2: adhesiolysis, ectopic pregnancy (EP), laparoscopic treatment of endometriosis, cystectomy, oophorectomy, LAVH, tubal surgery for infertility; level 3: myomectomy, total laparoscopic hysterectomy (TLH) and sacropexy). Data were compared to previously published data of 1994. Results Response rate was 79% (81/102). Diffusion and acceptance of level 2 procedures increased significantly, except endometriosis and tubal surgery for infertility. Diffusion of LAVH was only 58%. Four percent of hysterectomies were LAVH. TLH and sacropexy were not performed. The diffusion of myomectomy increased significantly ( p = 0.01), whereas its acceptance remained low. Conclusions Although the diffusion of operative procedures has increased over the last decade, acceptance is still limited, especially for laparoscopic hysterectomy. The implementation of operative gynaecological laparoscopy in The Netherlands seems to develop at a slow pace.
ISSN:0301-2115
1872-7654
DOI:10.1016/j.ejogrb.2006.01.019