The implications of high-volume gynecologic surgery for both patients and the specialty will be discussed during this morning’s The John I. Brewer Memorial Lecture.
“Should Every Woman Have Access to a High-Volume Gynecologic Surgeon” takes place today from 8:10 to 9 am in Ballroom D. Magdy P. Milad, MD, chief of minimally invasive gynecologic surgery and the Albert B. Gerbie, MD, professor of obstetrics and gynecology, Feinberg School of Medicine, Northwestern University, Chicago, will argue that every women deserves a high-volume gynecologic surgeon. Mark G. Lewis, DO, MS, residency director for Sparrow Health System and associate professor at Michigan State University, East Lansing, will argue against.
Since most obstetrician-gynecologists are generalists, the implications of volume surgery could have a significant impact on many practices. Both debaters will discuss the available literature that addresses gynecologic surgical volume and the types of procedures performed for benign indications and the associated outcomes.
Dr. Lewis said that high-volume surgeons are more likely to utilize minimally invasive techniques, have fewer complications, shorter hospital stays, less ICU visits, and lower mortality.
“This is not unique to gynecology,” he said. “Most surgical specialties note the same trends.”
Some data show support of Dr. Milad’s position, Dr. Lewis said, but that the definition of “high-volume” surgeon remains inconsistent, and several other studies show no benefit. Other factors include high-volume hospitals, cumulative surgical experience, and procedure complexity.
Dr. Lewis said that more study regarding surgical outcomes is needed, along with establishing surgical competency based on validated training and skills assessment.
“We chose this as a specialty in part for the physician-patient relationship, and the decision to perform surgery as well as the route of surgery selected are best made between the patient and physician,” he said.