E-Posters-10129

10129_Shah

Pdf Summary

This study aimed to compare the use of post-hysterectomy prolapse prevention procedures before and after the release of the AAGL practice guidelines. The retrospective chart review included women who underwent hysterectomy for benign reasons between 2012 and 2016 at a single tertiary care center. The patients were divided into two groups: the first group from 2012 to April 2014 and the second group from May 2014 to 2016, following the publication of the AAGL guidelines in April 2014.<br /><br />The analysis included a total of 643 women with a mean age of 45.3 years. The use of apical prolapse prevention techniques increased by 10.9% after the publication of the AAGL guidelines, although this increase was not statistically significant. However, when controlling for surgeon, there was no significant change in the use of these techniques.<br /><br />There were significant differences in the prevalence of fibroids and the mode of hysterectomy between the two groups. The post-guidelines group had a higher prevalence of concomitant post-hysterectomy prolapse prevention repairs compared to the pre-guidelines group.<br /><br />The strengths of the study include a relatively large number of patients, while limitations include being a single site study, retrospective in nature, and the use of dictated reports by assistants to confirm the use of prolapse prevention techniques.<br /><br />The study concludes that although there was an increase in the use of apical prolapse prevention techniques after the publication of the AAGL guidelines, there was no significant change in their use when controlling for surgeon. This suggests that further efforts are needed to improve the implementation of these guidelines in clinical practice.

Keywords

post-hysterectomy prolapse prevention

AAGL practice guidelines

retrospective chart review

benign hysterectomy

tertiary care center

apical prolapse prevention techniques

surgeon control

fibroids prevalence

concomitant post-hysterectomy prolapse prevention repairs

implementation of guidelines