Re: economics of hysterectomy

From: ainsron (ainsron@sbcglobal.net)
Thu Dec 13 15:37:32 2007


That's interesting, but certainly not followed by Kaiser in Northern CA. I saw a patient recently with a 12wk size fibroid uterus who had been scheduled for a TAH/BSO. She transferred care and I did a LAVH/BSO which required vaginal morcelation. It wasn't easy because of two large posterior fibroids near the cervix, but wasn't complicated either and they hadn't even mentioned it to her as an option. She appreciated avoiding the abdominal scar and I think she will be back to work and full activities much quicker.

Ronald E. Ainsworth, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of ENDODOK@aol.com Sent: Thursday, December 13, 2007 1:46 PM To: Multiple recipients of list OB-GYN-L Subject: Re: economics of hysterectomy

With their focus on reducing costs, Kaiser San Diego adopted LSH as procedure of choice for hysterectomy. Their associated Kaiser facility in Santa Monica determined that LSH cost $5500, and TAH cost $11,000.(in 2003-4)

Glenn





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