Outcomes of first 60 vaginal myomectomies by one gyn surgeon with 20 years of extensive vaginal surgical expertise

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dc.authorid0000-0003-4004-8167
dc.authorid0000-0003-1616-9735
dc.authorid0000-0003-1803-106X
dc.authorid0000-0001-8054-2624
dc.authorid0000-0001-8522-9119
dc.contributor.authorŞahin, Eda Adeviye
dc.contributor.authorŞahin, Turan
dc.contributor.authorAğlamış, Savaş Özgür
dc.contributor.authorTekin, Arzu Bilge
dc.contributor.authorŞahin, Hanifi
dc.date.accessioned2026-08-03T14:05:39Z
dc.date.available2026-08-03T14:05:39Z
dc.date.issued2026
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalı
dc.description.abstractIntroduction This retrospective single-center study based on prospectively collected data aimed to evaluate changes in operative performance during the initial experience with vaginal myomectomy. Methods Sixty consecutive patients who underwent VM between January 2021 and December 2023 were included. Demographic features, FIGO-classified myoma characteristics, operative variables, and postoperative outcomes were recorded prospectively. To assess the LC, patients were divided chronologically into four groups of 15 cases. The primary objective was to evaluate changes in operative performance across consecutive cases. Operative time, estimated blood loss, hematocrit decrease, and hospitalization duration were used as measurable indicators of surgical progression, while the occurrence of major complications was assessed as a safety outcome. Groups were compared in terms of preoperative characteristics, intraoperative parameters, and postoperative outcomes. Results The mean age and BMI of the patients were 38.1 years and 28.2 kg/m², respectively. Myoma number, diameter, and FIGO-based localization were similar across all groups (p > 0.05). No major intraoperative or postoperative complications occurred. Hematocrit drop and estimated blood loss were significantly higher in the first 15 cases compared to subsequent groups (p = 0.033 and p = 0.005). Operative time significantly decreased after the first 30 cases (p = 0.001), while length of hospital stay significantly shortened after the first 15 cases (p = 0.001). Transfusion rates did not differ between groups (p = 0.923). Conclusion The findings suggest that improvements in bleeding parameters and hospitalization duration became apparent after approximately 15 procedures, whereas operative efficiency improved and appeared to stabilize after approximately 30–34 procedures. These observations should be interpreted within the context of the initial experience of an experienced vaginal surgeon rather than as universally applicable thresholds.
dc.identifier.citationŞahin, E. A., Şahin, T., Ağlamış, S. Ö., Tekin, A. B., & Şahin, H. (2026). Outcomes of first 60 vaginal myomectomies by one gyn surgeon with 20 years of extensive vaginal surgical expertise. BMC Women's Health, https://doi.org/10.1186/s12905-026-04715-5
dc.identifier.doi10.1186/s12905-026-04715-5
dc.identifier.issn1472-6874
dc.identifier.pmidPMID: 42482232
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1186/s12905-026-04715-5
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1577
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.indekslendigikaynak.otherSSCI - Social Science Citation Index
dc.institutionauthorŞahin, Hanifi
dc.institutionauthorid0000-0001-8522-9119
dc.language.isoen
dc.publisherBioMed Central
dc.relation.ispartofBMC Women's Health
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectVaginal Myomectomy
dc.subjectLearning Curve
dc.subjectUterine Myomas
dc.subjectOperative Time
dc.subjectLength of Hospital Stay
dc.titleOutcomes of first 60 vaginal myomectomies by one gyn surgeon with 20 years of extensive vaginal surgical expertise
dc.typeArticle
dspace.entity.typePublication

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