E-Posters-Practice Patterns and Postoperative Complications of Hysterectomy for Pelvic Organ Prolapse after the FDA Warning Against Power Morcellation

Practice Patterns and Postoperative Complications of Hysterectomy for Pelvic Organ Prolapse after the FDA Warning Against Power Morcellation - Woojin Chong, MD

Back to course

Pdf Summary

This article focuses on the practice patterns and postoperative complications of hysterectomy for pelvic organ prolapse (POP) after the FDA issued a warning against laparoscopic power morcellation (LPM). The study used the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database to compare the practice patterns and complications of hysterectomy for POP before and after the FDA warning. <br /><br />The researchers found that the proportion of laparoscopic supracervical hysterectomy (LSC-SCH) increased from 2011 to 2013, decreased from 2013 to 2015, and then increased again from 2015 to 2017. The proportion of total laparoscopic hysterectomy (TLH) increased during the middle phase of the study and plateaued afterward. The rate of complications was lowest for LSC-SCH compared to other routes of surgery.<br /><br />Overall, the study concludes that the practice patterns of hysterectomy for POP shifted after the FDA warning against LPM, with an increased utilization of LSC-SCH and TLH. However, complications were lowest for LSC-SCH compared to other routes of surgery. The study emphasizes the importance of evaluating the safety and effectiveness of different surgical techniques for POP repair.<br /><br />In summary, this retrospective cohort study examined the practice patterns and postoperative complications of hysterectomy for POP before and after the FDA warning against LPM. The study found changes in the utilization of laparoscopic techniques and identified LSC-SCH as having the lowest rate of complications. These findings highlight the need for further research and evaluation of surgical approaches for POP repair.

Keywords

practice patterns

postoperative complications

hysterectomy

pelvic organ prolapse

FDA warning

laparoscopic power morcellation

LSC-SCH

TLH

complications

surgical techniques