Perioperative and postoperative morbidity after sacrocolpopexy according to age in Korean women
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Objective This study aimed to compare perioperative and postoperative morbidity of older and younger women undergoingsacrocolpopexy (SCP). Methods A retrospective study included 271 patients who underwent laparotomic SCP for symptomatic pelvic organ prolapsefrom November 2008 to June 2013 at our institution. By the review of medical records, perioperative and postoperativedata including the length of the surgery, estimated blood loss, blood transfusion, the length of hospital stay, woundcomplications and febrile morbidity were collected. In addition, cardiovascular, pulmonary, gastrointestinal, genitourinary,or neurological adverse events were retrieved. The need for an indwelling urinary catheter or performance of cleanintermittent self-catheterization, mesh erosion rate and the number of days required for each were included in thepostoperative outcomes. For the outcome variable analyzed in this study, the patients was dichomotized into womenaged 65 and older and those younger than 65. Results One hundred and thirty-five (49.8%) patients were younger than 65 and 136 (50.2%) were aged 65 and older. Olderwomen had higher body mass index, vaginal parity and prior surgery for hysterectomy than younger women (P<0.05). And older women had higher baseline comorbidities, such as hypertension, diabetes, cardiac disease (P<0.05), and theirAmerican society of Anesthesiologist class was higher (P<0.001). In the perioperative and postoperative complication,older group showed no differences in most of the operation-related complication rates, but gastrointestinal complicationrate. Also, mesh erosion rate was not found to be significantly different between the two groups at the last visit. Conclusion Older women undergoing laparotomic SCP have similar perioperative and postoperative morbidities as youngerwomen, suggesting surgeons can counsel older and younger women similarly in terms of operative risks.
Abstract
Objective This study aimed to compare perioperative and postoperative morbidity of older and younger women undergoingsacrocolpopexy (SCP). Methods A retrospective study included 271 patients who underwent laparotomic SCP for symptomatic pelvic organ prolapsefrom November 2008 to June 2013 at our institution. By the review of medical records, perioperative and postoperativedata including the length of the surgery, estimated blood loss, blood transfusion, the length of hospital stay, woundcomplications and febrile morbidity were collected. In addition, cardiovascular, pulmonary, gastrointestinal, genitourinary,or neurological adverse events were retrieved. The need for an indwelling urinary catheter or performance of cleanintermittent self-catheterization, mesh erosion rate and the number of days required for each were included in thepostoperative outcomes. For the outcome variable analyzed in this study, the patients was dichomotized into womenaged 65 and older and those younger than 65. Results One hundred and thirty-five (49.8%) patients were younger than 65 and 136 (50.2%) were aged 65 and older. Olderwomen had higher body mass index, vaginal parity and prior surgery for hysterectomy than younger women (P<0.05). And older women had higher baseline comorbidities, such as hypertension, diabetes, cardiac disease (P<0.05), and theirAmerican society of Anesthesiologist class was higher (P<0.001). In the perioperative and postoperative complication,older group showed no differences in most of the operation-related complication rates, but gastrointestinal complicationrate. Also, mesh erosion rate was not found to be significantly different between the two groups at the last visit. Conclusion Older women undergoing laparotomic SCP have similar perioperative and postoperative morbidities as youngerwomen, suggesting surgeons can counsel older and younger women similarly in terms of operative risks.
참고문헌 (18)
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