Incidence of perioperative complications of urogynecologic surgery in elderly women

Stepp, Kevin J.; Barber, Matthew D.; Yoo, Eun Hee; Whiteside, James L.; Paraíso, Marie Fidela R.; Walters, Mark D.

doi:10.1016/j.ajog.2004.11.026

Cited by 107 publications

(81 citation statements)

References 16 publications

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“…Stepp et al reported low incidence of significant perioperative morbidity from their cohort of elderly women who undergo pelvic reconstructive surgery and revealed that perioperative complications are not substantially different from other general gynecologic surgeries (6). The rate of transfusion in the Lambrou study was 16%, whereas our rate of significant bleeding was 1.6% (2).…”

Section: Discussionmentioning

confidence: 48%

Perioperative Complications of Urogynecologic Surgery: Our Experience in a Tertiary Care Hospital

Cengiz

Dağdeviren

Kaya

et al. 2018

Gynecol Obstet Reprod Med

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OBJECTIVE:The aim of this study was to determine the incidence of perioperative complications in women who undergo urogynecologic surgery. STUDY DESIGN:A retrospective chart review of patients who underwent urogynecologic surgery between January 2014 and January 2016 was performed. The type of surgeries and significant perioperative complications were recorded. Intraoperative complications included, injury of nerves, bowel, bladder or ureter, intraoperative blood transfusion, conversion to laparotomy and anesthesia-related events. RESULTS:The sample included 120 consecutive women who underwent urogynecological surgeries. The mean age of the patients was 53 (range, 34-88 years). 46% of the patients had one or more of medical problems. 55% percent of the patients had previously undergone a pelvic surgery. 70% of the patients had surgeries by vaginal approach, 10% of them had by abdominal approach and 20% of them had surgeries by laparoscopic approach. The prevalence of complications was 27.5%. This included 11 intraoperative complications (6 cases bladder injury, 2 cases transfusion) and 21 postoperative complications. CONCLUSION:In conclusion, the number of women undergoing surgery for pelvic organ prolapse, urinary incontinence, and anal incontinence continues to increase, the present study provides useful statistical data for our country.

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Section: Discussionmentioning

confidence: 48%

Perioperative Complications of Urogynecologic Surgery: Our Experience in a Tertiary Care Hospital

Cengiz

Dağdeviren

Kaya

et al. 2018

Gynecol Obstet Reprod Med

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“…The discharge into further medical care facilities such as a geriatric or cardiology hospital/department as was seen exclusively for the very elderly patients can also be explained in this way [26]. In a retrospective analysis of 283 patients aged 76 or more years, Stepp et al found 5.2 % intra-operative and 24 % post-operative complications but a standardised recording system, e.g., such as that according to Clavien and Dindo, was not used [27]. This makes a comparison of the data difficult.…”

Section: Co-morbidity Analysismentioning

confidence: 99%

Gynaecological Prolapse Surgery in Very Old Female Patients

Mothes

Kwetkat

Radosa

et al. 2016

Geburtshilfe Frauenheilkd

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Hintergrund: Ziel ist der Vergleich von hochaltrigen Patientinnen mit einer jüngeren Kontrollgruppe nach Deszensuschirurgie hinsichtlich Komorbidität und Komplikationen. Methode: Im Fallkontrolldesign erfolgte die Analyse konsekutiver Daten nach Deszensuschirurgie ab 80. Lebensjahr und einer Kontrollgruppe mittels Clavien-Dindo-(CD-)Klassifikation chirurgischer Komplikationen, Charlson Comorbidity Index und Cumulative Illness Rating Scale Geriatrics (CIRS-G). Statistik: Studentʼs t-, Fisherʼs Exactund Mann-Whitney U-Tests. Ergebnisse: Es wurden n = 57 vs. n = 60 Operationen erfasst. Bei Hochaltrigen lag häufiger ein Grad-IV-Prolaps vor (p < 0,001), es erfolgte häufiger eine apikale Fixation (p < 0,001), die OP-Zeiten unterschieden sich nicht. Bei Hochaltrigen fanden sich 21% CD-II + III-Komplikationen, in der Kontrollgruppe 6,6 % (p = 0,031). In beiden Gruppen traten keine CD-IV-und-V-Komplikationen auf, die Verweildauer lag bei 5 (± 1) vs. 4,1 (± 0,8; p < 0,001) Tagen, eine stationäre Weiterbetreuung erfolgte häufiger bei hochaltrigen Patientinnen (p < 0,001). Die Komorbidität Hochaltriger unterschied sich von der Kontrollgruppe in der Anzahl (median 2,0 vs. 1,5; p < 0,001), im CIRS-G (4,1 ± 2,2 vs. 2,4 ± 1,7; p < 0,001) und im Charlson-Index (1,6 ± 1,6 vs. 0,5 ± 0,7; p < 0,001). Schlussfolgerungen: Ein Deszensus kann bei hochaltrigen Patientinnen sicher chirurgisch versorgt werden. Komplikationen erreichten in keinem Fall Intensivtherapiepflichtigkeit oder Lebensbedrohlichkeit, führten aber zu einer verlängerten Verweildauer und häufiger zu geriatrischer oder internistischer stationärer Weiterbehandlung.

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“…Kevin et al reported 1.5% thromboembolic complication rate but in this study no patient had thromboembolic complication. 15 Overall in our series 66% patients had one or more than one risk factors which can be evaluated and treated preoperatively to make the surgery safe and 23% of patients had one or more than one perioperative complications.…”

Section: Pipara P Et Al Int J Reprod Contracept Obstet Gynecol 2015mentioning

confidence: 76%

“…15 Sung et al also reported overall complication rate of 14.4% after urogynaecologic surgery and increased risk of complications with increasing age. 16 Lambrou et al reported perioperative complications rate of 46% among 100 women of all ages who underwent urogynaecologic surgery and found increased prevalence of major complications specifically bladder and ureteral injury.…”

Section: Pipara P Et Al Int J Reprod Contracept Obstet Gynecol 2015mentioning

confidence: 94%

Pelvic reconstructive surgery in geriatric urogynaecology: an uphill task

Pipara

Londhe

Lakshmi

et al. 2015

Int J Reprod Contracept Obstet Gynecol

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Incidence of perioperative complications of urogynecologic surgery in elderly women

Cited by 107 publications

References 16 publications

Perioperative Complications of Urogynecologic Surgery: Our Experience in a Tertiary Care Hospital

Perioperative Complications of Urogynecologic Surgery: Our Experience in a Tertiary Care Hospital

Gynaecological Prolapse Surgery in Very Old Female Patients

Pelvic reconstructive surgery in geriatric urogynaecology: an uphill task

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