Procedural sedation and analgesia versus general anesthesia for hysteroscopic myomectomy: A cost-effectiveness analysis alongside a randomized controlled trial.

ABSTRACT:

Introduction

Hysteroscopic myomectomy is the first-choice treatment for symptomatic type 0 and 1 fibroids and was traditionally performed under general anesthesia. Over the last decade, surgical procedures have increasingly been performed in an outpatient setting under procedural sedation and analgesia. However, studies evaluating the safety and cost-effectiveness of hysteroscopic myomectomy under procedural sedation and analgesia are lacking. This study aimed to assess the cost-effectiveness of procedural sedation and analgesia with propofol in an outpatient setting for hysteroscopic myomectomy compared to general anesthesia in an operating room.

Material and methods

This was a cost-effectiveness analysis from a societal perspective alongside a multicenter randomized contro

SUBMITTER: van der Meulen JF 

PROVIDER: S-EPMC12668803 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature