E-Posters-Perioperative Outcomes of Minimally Invasive Sacrocolpopexy Based on Route of Concurrent Hysterectomy: A secondary analysis of the National Surgical Quality Improvement Program (NSQIP) Database

Perioperative Outcomes of Minimally Invasive Sacrocolpopexy Based on Route of Concurrent Hysterectomy: A secondary analysis of the National Surgical Quality Improvement Program (NSQIP) Database - Olivia O. Cardenas-Trowers, MD

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This document summarizes a study on the perioperative outcomes of minimally invasive sacrocolpopexy (MISCP) based on the route of concurrent hysterectomy. The study analyzed data from the National Surgical Quality Improvement Program (NSQIP) database from 2006 to 2015.<br /><br />A total of 524 women underwent hysterectomy with MISCP. The different routes of hysterectomy included vaginal (VH) in 31 cases, laparoscopic-assisted (LAVH) in 40 cases, laparoscopic supracervical (LSCH) in 322 cases, and total laparoscopic (TLH) in 131 cases. Operative times differed significantly between groups, with TLH having the shortest operating time.<br /><br />There were no significant differences in length of hospital stay, rate of reoperation, 30-day readmission, or the composite outcome. The route of hysterectomy did not have an increased composite outcome on adjustment for confounders.<br /><br />The study found that regardless of the route of concurrent hysterectomy, MISCP was associated with low rates of 30-day complications, reoperation, and readmission.<br /><br />The researchers used a logistic regression model to correct for potential confounding variables and performed a minimum detectable effect analysis to determine the study population's power to detect differences in outcomes.<br /><br />Overall, the study found that MISCP is a safe procedure with low perioperative complications, regardless of the route of concurrent hysterectomy.<br /><br />This study provides valuable insights into the perioperative outcomes of MISCP and contributes to the existing knowledge on the topic. The manuscript has been accepted for publication in the Journal of Minimally Invasive Gynecology. Interested individuals can contact Dr. Olivia Cardenas-Trowers for more information.

Keywords

minimally invasive sacrocolpopexy

route of concurrent hysterectomy

perioperative outcomes

National Surgical Quality Improvement Program

NSQIP database

operative times

length of hospital stay

reoperation rate

30-day readmission rate

composite outcome