![]() ![]() ![]() These procedures decreased at an even greater rate between 20, at 62.5% for genitourinary incontinence and 59% for vaginal obliteration. The two less frequently performed OB/GYN surgeries that were also found to be decreasing are genitourinary incontinence procedures and vaginal obliteration. Hysterectomy, which included procedures done through open surgery and those done vaginally, decreased 51% over the same time period. Oophorectomy, both unilateral and bilateral, decreased 54% between 20. However, of the top 10 procedures that are decreasing at the greatest rate, four of them are OB/GYN-related. In fact, of the top 10 procedures that have increased in frequency, none were OB/GYN surgeries. While certain types of surgeries-including gastrectomy and knee arthroplasty-have increased, some OB/GYN surgeries are on the decline. The top 10 surgical procedures in 2012 are shown in the Table. Maternal and neonatal hospitalizations were excluded from the analysis. Procedures included were those that were done on inpatients and performed in the OR. The data was stratified a number of different ways to determine which procedures were increasing and which were decreasing amongst patients in the United States. The Agency for Healthcare Research and Quality published their data on the surgeries done on patients in an OR between 20 as part of the Healthcare Cost and Utilization Project (HCUP). Do you find that your practice is doing fewer surgeries now than about 10 years ago? If so, your experience is in line with what is happening in OB/GYN surgery at hospitals across the country. ![]()
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