Comparison of Perioperative Complications between Reconstructive Pelvic Surgery and General Gynecologic Surgery.
10.3349/ymj.2004.45.2.281
- Author:
Sang Wook BAI
1
;
Jung Mi AN
;
Jong Seung SHIN
;
Joo Hyun PARK
;
Sei Kwang KIM
;
Ki Hyun PARK
Author Information
1. Department of Obstetrics and Gynecology Yonsei University, College of Medicine, Seoul, Korea. swbai@yumc.yonsei.ac.kr
- Publication Type:Original Article ; Comparative Study
- Keywords:
Perioperative complications;
reconstructive pelvic surgery;
general gynecologic surgery;
predictive risk factors
- MeSH:
Adult;
Aged;
Comparative Study;
Female;
Gynecologic Surgical Procedures/adverse effects/*statistics & numerical data;
Human;
Middle Aged;
Pelvis/*surgery;
Postoperative Complications/*epidemiology;
Reconstructive Surgical Procedures/adverse effects/*standards;
Risk Factors
- From:Yonsei Medical Journal
2004;45(2):281-286
- CountryRepublic of Korea
- Language:English
-
Abstract:
The purpose of this study was to compare the perioperative complication rates of reconstructive pelvic surgery and general gynecologic surgery, and to identify the predictive risk factors for perioperative complications in reconstructive pelvic surgery. The medical records of 148 reconstructive pelvic surgery patients and 146 general gynecologic surgery patients were reviewed, and the types of complications, along with their rates and predictive risk factors were examined. The statistical analysis included descriptive statistics and logistic regression. There was no difference in the type of complications between reconstructive pelvic surgery and general gynecologic surgery. The prevalences of perioperative complications were 34.4% in the reconstructive pelvic surgery group and 26.7% in the general gynecologic surgery group. Intraoperative blood loss (p= 0.006) and the duration of surgery (p=0.014) were independent risk factors for perioperative complications in the reconstructive pelvic surgery group. The perioperative complication rates for the patients undergoing reconstructive pelvic surgery were not higher than those of the patients undergoing general gynecologic surgery, even though more procedures were performed and a longer duration of surgery was needed in the former cases. Since the duration of surgery and the amount of blood loss are the major factors affecting the complication rate, decreasing these two factors would be the key to improving the outcomes of patients undergoing reconstructive pelvic surgery
