E-Posters-10211

10211_Giugale

Pdf Summary

This study aimed to evaluate the impact of the number of days between minimally invasive sacrocolpopexy (MISCP) procedures on surgical outcomes in a Female Pelvic Medicine and Reconstructive Surgery population. The researchers collected retrospective data on demographic, surgical, and postoperative information from a group of 816 patients who received MISCP procedures from 2009-2014 at an academic medical center. The main outcomes measured were operative time, occurrence of major complications, and prolapse recurrence.<br /><br />The results showed that each day between MISCP procedures minimally increased the operative time. This effect was more clinically relevant for surgeons with lower surgical volumes who had more days between cases. However, high-volume surgeons had minimal impact on operative time due to the number of days between cases. The researchers concluded that the number of days between MISCP procedures did not negatively affect patient outcomes in terms of perioperative complications or prolapse recurrence.<br /><br />On multivariable linear regression, it was found that each day since the last MISCP procedure increased the operative time by 0.68 minutes (p<0.001). For the median of 7 days since the previous MISCP case, this equated to a 4.8-minute increase in operative time, representing a 2.3% increase from the mean. For lower volume surgeons who performed only one MISCP per month, this led to an increased operative time of 20.4 minutes, representing a 10.0% increase from the mean.<br /><br />However, the number of days since the last MISCP did not impact the risk of major complications or prolapse recurrence on multivariable logistic regression.<br /><br />In conclusion, the study found that the time interval between MISCP procedures had a minimal impact on operative time and did not adversely affect patient outcomes. The results were particularly reassuring for high-volume surgeons.

Keywords

minimally invasive sacrocolpopexy

surgical outcomes

Female Pelvic Medicine and Reconstructive Surgery

retrospective data

operative time

major complications

prolapse recurrence

surgical volumes

perioperative complications

multivariable linear regression