Laberge Philippe Y, Singh Sukhbir S
Department of Obstetrics and Gynaecology, Centre Hospitalier de l'Université Laval, Quebec City QC.
Society of Minimally Invasive Gynaecology, Department of Obstetrics and Gynaecology, University of Ottawa/The Ottawa Hospital, Ottawa ON.
J Obstet Gynaecol Can. 2009 Nov;31(11):1050-1053. doi: 10.1016/S1701-2163(16)34350-X.
Despite national guidelines recommending that most hysterectomies should be performed vaginally or with laparoscopic assistance, the majority are still performed by laparotomy. Advocating for minimally invasive hysterectomy requires a strategy outlining the benefits and risks of the various approaches. We propose the use of "technicity," an index that has been used in France to compare the performance of hospitals across the country. Technicity is defined by the number of hysterectomies performed vaginally and laparoscopically divided by the total number of hysterectomies performed annually in a single department. We have developed a scoring system to demonstrate the advantages of less invasive surgical approaches, thereby supporting the concept of technicity and its relevance to practice. Using technicity, gynaecologists throughout Canada can monitor their shift towards minimally invasive procedures for hysterectomy, for the benefit of patients and society.
尽管国家指南建议大多数子宫切除术应通过阴道或在腹腔镜辅助下进行，但大多数仍通过剖腹手术进行。倡导微创子宫切除术需要一项概述各种方法的益处和风险的策略。我们建议使用“技术指数”，这是法国用于比较全国医院手术表现的一个指标。技术指数的定义是某一科室每年经阴道和腹腔镜进行的子宫切除术数量除以该科室每年进行的子宫切除术总数。我们开发了一个评分系统来展示侵入性较小的手术方法的优势，从而支持技术指数的概念及其与实践的相关性。通过使用技术指数，加拿大各地的妇科医生可以监测他们向微创子宫切除手术的转变情况，以造福患者和社会。
