Comparison of perioperative outcomes between colpocleisis with hysterectomy and colpocleisis without hysterectomy
Küçük Resim Yok
Tarih
2022
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Elsevier Masson, Corp Off
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Study Objective: To evaluate the effect of concomitant hysterectomy on perioperative outcomes in pa-tients who underwent obliterative pelvic organ prolapse (POP) surgery.Material and Methods: This retrospective study included 95 consecutive patients with no prior hysterec-tomy who underwent obliterative surgery for POP between February 2015 and April 2021. Perioperative outcomes of colpocleisis without hysterectomy (C) and colpocleisis with hysterectomy (CH) were com-pared.<br />Results: Of the 95 patients, 49 (51.6%) underwent C and 46 (48.4%) underwent CH. Patient characteristics including age, body mass index and history of prolapse surgery were comparable between the groups ( P-values .367, .199, and .363, respectively). The rate per prolapse stage, from stage 2 to stage 4, was similar in both groups ( P-values .709, > .999, and .838 for Stage 2, Stage 3, and Stage 4, respectively). The mean operating time was shorter in the C group than in the CH group (68.9 +/- 25.7 minutes versus 94.7 +/- 23.1 minutes, P-value < .001). Other perioperative outcomes including postoperative hemoglobin drop, duration of Foley catheter, rate of intraoperative complications, rate of patients with postoperative adverse events, reintervention rate and readmission rate were comparable in both groups ( P-values .125, .362, .484, > .999, .495, and > .999, respectively).Conclusion: CH is associated with a longer operative time compared to C. However, concomitant hys-terectomy does not appear to affect perioperative outcomes other than the operative time negatively.(c) 2022 Elsevier Masson SAS. All rights reserved.
Açıklama
Anahtar Kelimeler
Colpocleisis, Complications, Pelvic organ prolapse, Perioperative outcomes, Surgical outcomes
Kaynak
Journal of Gynecology Obstetrics and Human Reproduction
WoS Q Değeri
Q4
Scopus Q Değeri
Q2
Cilt
51
Sayı
9
