E-Posters-The Impact of age on Peri-operative Complications after Minimally Invasive Sacrocolpopexy

Pdf Summary

This study aimed to determine the differences in peri-operative complications after minimally invasive sacrocolpopexy (SCP) based on age. The researchers conducted a retrospective cohort study of women who underwent robotic or laparoscopic SCP at the University of North Carolina between 2006-2016. The women were divided into three groups: older (≥ 65), middle-age (55-64), and younger (< 55) women.<br /><br />The key findings of the study are as follows:<br /><br />1. Women aged 65 and older were not at an increased risk of peri-operative complications after minimally invasive SCP, despite having more preoperative comorbidities.<br /><br />2. Women younger than 55 were at an increased risk of minor complications compared to older women. This may be associated with their higher rate of smoking and concurrent hysterectomy.<br /><br />The study included 441 women, and there were no significant differences in complication rates between the middle-age and older groups. Therefore, the focus of the analysis was on comparing the younger and older groups.<br /><br />Younger women were more likely to be smokers and undergo concurrent hysterectomy, but they had a lower Charlson Comorbidity Index (CCI) compared to older women. The primary outcome showed that younger women had a higher rate of any post-operative complication compared to older women.<br /><br />The most common post-operative complications were urinary tract infections (UTI) and superficial cellulitis, accounting for 60% of all complications. The intra-operative complication rate from SCP was 6.6%, with cystotomy and vaginotomy being the most common intra-operative complications.<br /><br />There were no significant differences in terms of intra-operative complications, re-operation, or re-admission rates between the younger and older groups. However, multivariate regression analysis demonstrated that younger women had a higher rate of minor post-operative complications and UTIs compared to older women, even after controlling for various factors.<br /><br />In conclusion, this study found that older women undergoing minimally invasive SCP were not at an increased risk of peri-operative complications. However, younger women had a higher rate of minor complications, possibly due to their higher rates of smoking and concurrent hysterectomy.

Meta Tag

Concept Sacrocolpopexy

Concept Perioperative Complications

Concept Retrospective Cohort Study

Concept Postoperative Complication

Concept Age Group

Keywords

peri-operative complications

minimally invasive sacrocolpopexy

age differences

retrospective cohort study

robotic SCP

laparoscopic SCP

younger women

smoking

hysterectomy

post-operative complications

Sacrocolpopexy

Perioperative Complications

Retrospective Cohort Study

Postoperative Complication

Age Group