E-Posters-Postoperative complications: What is the safest reconstructive procedure for apical prolapse?

Postoperative complications: What is the safest reconstructive procedure for apical prolapse? - William D Winkelman, MD

Pdf Summary

The study examined the complication rates of different surgical approaches for apical prolapse repair in female patients. The data for the study was obtained from the American College for Surgeons National Surgical Quality Improvement (NSQIP) database, which included information from over 700 hospitals. The study included 36,463 surgical cases over a ten-year period from 2008-2017.<br /><br />The different surgical approaches included intraperitoneal colpopexy (28% of cases), extraperitoneal colpopexy (19%), abdominal colpopexy (38%), and transvaginal mesh (15%). The baseline demographics of the patients were similar across surgical groups, with a mean age of 60. The study found that apical prolapse repair is a safe surgical procedure with a low risk of complications within thirty days post-surgery, regardless of the surgical approach.<br /><br />However, there were some differences in complication rates between the different surgical approaches. Transfusions were most common following transvaginal mesh procedures. Other complications such as reoperation within 30 days, surgical site infections, deep venous thrombosis, and pulmonary embolism varied across the different surgical approaches.<br /><br />The study concludes that surgeons should be reassured that the risks for perioperative complications within thirty days are extremely low for apical prolapse repair, regardless of the surgical approach. The study suggests that the findings may help guide surgeons in selecting the most appropriate surgical approach for apical prolapse repair based on individual patient factors and surgeon expertise.<br /><br />In summary, the study found that apical prolapse repair is a safe surgical procedure with low complication rates. The study compared the complication rates of different surgical approaches and found that the risks for perioperative complications within thirty days are similar across the surgical approaches. Surgeons can feel reassured that the risks are extremely low regardless of the surgical approach selected.

Keywords

complication rates

surgical approaches

apical prolapse repair

female patients

NSQIP database

hospitals

surgical cases

transvaginal mesh

perioperative complications

surgeon expertise