دورية أكاديمية
أعرض في EDS

Postoperative complications and unanticipated healthcare encounters following mini-laparotomy vs. laparoscopic/robotic-assisted sacrocolpopexy: a comparative retrospective study.

التفاصيل البيبلوغرافية
العنوان: Postoperative complications and unanticipated healthcare encounters following mini-laparotomy vs. laparoscopic/robotic-assisted sacrocolpopexy: a comparative retrospective study.
المؤلفون: Chill HH; Division of Urogynecology, University of Chicago Pritzker School of Medicine, NorthShore University HealthSystem, Skokie, IL, USA. henchill@gmail.com.; Department of Obstetrics and Gynecology, Hadassah Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel. henchill@gmail.com., Hadizadeh A; Division of Urogynecology, University of Chicago Pritzker School of Medicine, NorthShore University HealthSystem, Skokie, IL, USA.; NorthShore University HealthSystem Research Institute, Evanston, IL, USA., Paya-Ten C; Division of Urogynecology, University of Chicago Pritzker School of Medicine, NorthShore University HealthSystem, Skokie, IL, USA., Leffelman A; Division of Urogynecology, University of Chicago Pritzker School of Medicine, NorthShore University HealthSystem, Skokie, IL, USA., Chang C; NorthShore University HealthSystem Research Institute, Evanston, IL, USA., Moss NP; Division of Urogynecology, Trinity Health of New England Medical Group, Bloomfield, CT, USA., Goldberg RP; Division of Urogynecology, University of Chicago Pritzker School of Medicine, NorthShore University HealthSystem, Skokie, IL, USA.
المصدر: BMC women's health [BMC Womens Health] 2024 Mar 13; Vol. 24 (1), pp. 173. Date of Electronic Publication: 2024 Mar 13.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088690 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6874 (Electronic) Linking ISSN: 14726874 NLM ISO Abbreviation: BMC Womens Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central, 2001-
مواضيع طبية MeSH: Robotic Surgical Procedures*/adverse effects , Laparoscopy*/methods , Pelvic Organ Prolapse*/surgery , Pelvic Organ Prolapse*/etiology, Humans ; Female ; Adult ; Middle Aged ; Aged ; Retrospective Studies ; Laparotomy ; Postoperative Complications/etiology ; Delivery of Health Care ; Treatment Outcome ; Gynecologic Surgical Procedures/methods
مستخلص: Background: Pelvic organ prolapse is a debilitating condition impacting lives of millions of women worldwide. Sacrocolpopexy (SCP) is considered an effective and durable surgical technique for treatment of apical prolapse. The aim of this study was to compare short-term outcomes including postoperative complications and unanticipated healthcare encounters between patients who underwent SCP with a mini-laparotomy approach compared to patients treated with laparoscopic and robotic-assisted laparoscopic SCP.
Methods: This was a retrospective cohort study including patients treated for apical prolapse at a university affiliated urogynecology practice. Patients over the age of 18 who underwent abdominal SCP between 2019 and 2023 were included. The cohort was formed into two groups: (1) Patients who underwent SCP through a mini-laparotomy incision (Mini-lap group); (2) Patients who underwent laparoscopic or robotic-assisted laparoscopic SCP (Lap/Robot group).
Results: A total of 116 patients were included in the final analysis. Ninety patients underwent either laparoscopic or robotic-assisted SCP, whereas 26 patients underwent SCP with a mini-laparotomy approach. Study participants exhibited a mean age of 63.1 ± 10.3 years, mean body mass index (BMI) of 25.8 ± 4.9 Kg/m 2 , and 77.6% of them identified as Caucasian. Upon comparison of demographic and past medical history between groups there were no statistically significant differences in age, BMI, menopausal status, race, parity or comorbid conditions. Patients in the Mini-lap group were less likely to have undergone previous abdominal surgery (11.5% vs. 50.6%, p < 0.001) and had more severe apical prolapse (stage 4 prolapse, 40% vs. 21.2%, p < 0.001) than their counterparts in the Lap/robot group. Regarding intraoperative parameters, length of surgery was significantly shorter in the Mini-lap group compared to the Lap/robot group (97.3 ± 35.0 min vs. 242.0 ± 52.6 min, p < 0.001). When focusing on the primary outcome, postoperative complications within the first 30 days after surgery, there were no differences noted between groups. Additionally, the number of unanticipated healthcare encounters, such as phone calls, clinic visits, emergency department visits, urgent care visits, readmissions and reoperations were similar between groups.
Conclusions: Mini-laparotomy approach for SCP is safe with comparable intra- and postoperative complications, and unanticipated healthcare encounters compared to conventional minimally invasive methods.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Apical prolapse; Laparoscopic surgery; Mini-laparotomy; Pelvic organ prolapse; Robotic-assisted laparoscopic surgery; Sacrocolpopexy; Vaginal vault prolapse
تواريخ الأحداث: Date Created: 20240314 Date Completed: 20240315 Latest Revision: 20240316
رمز التحديث: 20240316
مُعرف محوري في PubMed: PMC10936067
DOI: 10.1186/s12905-024-03011-4
PMID: 38481283
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6874
DOI:10.1186/s12905-024-03011-4