Comparison of postoperative complications and quality of life between patients undergoing continent versus non-continent urinary diversion after pelvic exenteration for gynecologic malignancies

Ángeles, Martina Aida; Mallet, Estelle; Rouanet, Philippe; Méeus, Pierre; Lambaudie, Éric; Foucher, Fabrice; Narducci, Fabrice; Loaec, Cécile; Gouy, Sébastien; Guyon, Frédéric; Marchal, Frédéric; Gladieff, Laurence; Martínez-Gómez, Carlos; Martinez, Alejandra; Ferron, Gwénaël

doi:10.1136/ijgc-2019-000863

Cited by 16 publications

(3 citation statements)

References 28 publications

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“…Hysterectomy is a common gynecological surgical procedure, its surgical trauma is large, which can easily lead to postoperative stress incontinence, pelvic organ prolapse, insomnia, anxiety, and other problems in patients, adversely affecting patients' QOL and family function [ 14 , 15 ]. In addition, surgery causes great psychological stress in patients, which, combined with the fact that patients have less knowledge about anesthesia and surgery, may trigger stress reactions and then have an impact on the circulation and neuroendocrine system, hindering the smooth implementation of surgery [ 16 ], so it is highly necessary to carry out clinical management during the perioperative period of hysterectomy. Routine nursing, although meeting the basic clinical needs of patients, is not comprehensive enough, and postoperative complications can still occur, affecting prognosis [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of Intelligent Medical Management Platform Combined with Perioperative Detailed Nursing on Cognitive Ability, Postoperative Complications, and Quality of Life of Patients Undergoing Hysterectomy

Han

Zhang

Jiang

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. To analyze the effect of an intelligent medical management platform combined with perioperative detailed nursing on cognitive ability, postoperative complications, and quality of life (QOL) of patients undergoing hysterectomy. Methods. The clinical data of 76 patients undergoing hysterectomy in our hospital from December 2019 to December 2021 were selected for the retrospective analysis, and the patients were divided into the experimental group (EG, n = 38 , intelligent medical management platform+perioperative detailed nursing) and the routine group (RG, n = 38 , routine nursing) according to their admission order, and the cognition of disease and QOL after intervention of patients in the two groups were evaluated by the self-proposed questionnaire on cognition of disease of our hospital and the MOS 36-item short-form health survey (SF-36). Results. After intervention, the scores on cognitive ability, various nursing items, and QOL were significantly higher in EG than in RG ( P < 0.001 ), and during the study, the total incidence rate of complications was significantly lower in EG than in RG ( P < 0.05 ). Conclusion. Combining an intelligent medical management platform with perioperative detailed nursing is a reliable method to improve QOL and reduce postoperative complications for patients undergoing hysterectomy. Further research will be conducive to providing a reliable perioperative intervention scheme for such patients.

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Section: Discussionmentioning

confidence: 99%

Effect of Intelligent Medical Management Platform Combined with Perioperative Detailed Nursing on Cognitive Ability, Postoperative Complications, and Quality of Life of Patients Undergoing Hysterectomy

Han

Zhang

Jiang

et al. 2022

Computational and Mathematical Methods in Medicine

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“…Infection is the second most common perioperative complication, and prophylactic antibiotics are prescribed to reduce infection. Wound-related complications are more common in open cystectomy, and deep vein thrombosis (DVT) is a serious postoperative complication affecting up to 4.7% of patients [ 49,50 ] .…”

Section: Early Complicationsmentioning

confidence: 99%

“…International Journal of Chemical and Biochemical Sciences (IJCBS), 25(19) (2024):[40][41][42][43][44][45][46][47][48][49] …”

mentioning

confidence: 99%

Ninety Days complications rate in patients undergoing radical cystectomy with enhanced recovery protocol

Hasan,

AbdelRazek,

Elamir

et al. 2024

Int J Chem Biochem Sci

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Bladder cancer is a carcinoma of the urothelial, or “umbrella,” cells that line the lumen of the urinary bladder. Technically, urothelial carcinoma includes tumors of the bladder, upper urinary tract (renal pelvis and ureters), and proximal urethra. Bladder cancer accounts for approximately 90% to 95% of urothelial carcinoma; bladder cancer comprises 75% pure urothelial carcinoma and 25% “variant” histology, adding complexity to the management of this disease. Bladder cancer can be categorized in several way, almost all bladder cancers originate in the urothelium, which is a 3- to 7-cell mucosal layer within the muscular bladder. Squamous cell carcinoma of the bladder can involve multiple sites; however, the lateral wall and trigone are more commonly involved by this tumor. All small cell carcinomas of the urinary system identified so far have been located in the urinary bladder, most commonly in the dome and vesical lateral wall. Radical cystectomy is a crucial surgical technique in managing MIBC, high-risk NMIBC, and treatment-refractory NMIBC. Despite a high perioperative mortality rate (5-10%), it now carries a 1-2% mortality rate due to improvements in surgical technique, intensive care medicine evolution, and antibiotic availability.

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Quality of life following pelvic exenteration in neoplasms

Zanatto,

Mucci,

Pinheiro

et al. 2024

Journal of Surgical Oncology

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BackgroundPelvic exenteration (PE) is an extensive surgical treatment reserved for advanced or recurrent pelvic neoplasms, with potential impacts on patients' quality of life (QoL) poorly referenced in the literature.ObjectivesThis study aimed to evaluate QoL outcomes among three types of PE.MethodsA cross‐sectional study assessed 106 patients divided into anterior PE (APE), posterior PE (PPE), or total PE (TPE) groups. QoL was measured using e short form 36 version 2 (SF‐36) and the European Organization for Research and Treatment of Cancer QoL Quality of Life Questionnaire Core 30 (QLQ‐C30) QoL questionnaires. Descriptive and inferential analyses compared questionnaire scores.ResultsThe findings unveiled a balance among the three groups concerning demographic variables and comorbidities, with the exception of a male predominance in the APE and TPE cohorts. Notably, the APE group exhibited elevated scores in overall health (assessed via SF‐36) and social functioning and diarrhea domains (assessed via QLQ‐C30). Moreover, in terms of the fatigue and nausea/vomiting domains (assessed via QLQ‐C30), the APE group demonstrated superior QoL compared to the PPE group. Conversely, the PPE group manifested a notably lower QoL in the constipation domain (assessed via QLQ‐C30) compared to the other two groups. Additionally, disease recurrence was significantly associated with diminished QoL across multiple domains.ConclusionAPE patients exhibited better QoL than PPE and TPE groups, with disease recurrence adversely affecting QoL.

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Comparison of postoperative complications and quality of life between patients undergoing continent versus non-continent urinary diversion after pelvic exenteration for gynecologic malignancies

Cited by 16 publications

References 28 publications

Effect of Intelligent Medical Management Platform Combined with Perioperative Detailed Nursing on Cognitive Ability, Postoperative Complications, and Quality of Life of Patients Undergoing Hysterectomy

Effect of Intelligent Medical Management Platform Combined with Perioperative Detailed Nursing on Cognitive Ability, Postoperative Complications, and Quality of Life of Patients Undergoing Hysterectomy

Ninety Days complications rate in patients undergoing radical cystectomy with enhanced recovery protocol

Quality of life following pelvic exenteration in neoplasms

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