Obstet Gynecol Sci.  2015 Jan;58(1):59-64. 10.5468/ogs.2015.58.1.59.

Perioperative and postoperative morbidity after sacrocolpopexy according to age in Korean women

• Oh S
• Shin SH
• Kim JY
• Lee M
• Jeon MJ

• KMID: 1994228
• DOI: http://doi.org/10.5468/ogs.2015.58.1.59

Abstract

OBJECTIVE
This study aimed to compare perioperative and postoperative morbidity of older and younger women undergoing sacrocolpopexy (SCP).
METHODS
A retrospective study included 271 patients who underwent laparotomic SCP for symptomatic pelvic organ prolapse from November 2008 to June 2013 at our institution. By the review of medical records, perioperative and postoperative data including the length of the surgery, estimated blood loss, blood transfusion, the length of hospital stay, wound complications and febrile morbidity were collected. In addition, cardiovascular, pulmonary, gastrointestinal, genitourinary, or neurological adverse events were retrieved. The need for an indwelling urinary catheter or performance of clean intermittent self-catheterization, mesh erosion rate and the number of days required for each were included in the postoperative outcomes. For the outcome variable analyzed in this study, the patients was dichomotized into women aged 65 and older and those younger than 65.
RESULTS
One hundred and thirty-five (49.8%) patients were younger than 65 and 136 (50.2%) were aged 65 and older. Older women had higher body mass index, vaginal parity and prior surgery for hysterectomy than younger women (P<0.05). And older women had higher baseline comorbidities, such as hypertension, diabetes, cardiac disease (P<0.05), and their American society of Anesthesiologist class was higher (P<0.001). In the perioperative and postoperative complication, older group showed no differences in most of the operation-related complication rates, but gastrointestinal complication rate. Also, mesh erosion rate was not found to be significantly different between the two groups at the last visit.
CONCLUSION
Older women undergoing laparotomic SCP have similar perioperative and postoperative morbidities as younger women, suggesting surgeons can counsel older and younger women similarly in terms of operative risks.

Keyword

Age; Morbidity; Sacrocolpopexy

MeSH Terms

Blood Transfusion
Body Mass Index
Comorbidity
Female
Heart Diseases
Humans
Hypertension
Hysterectomy
Length of Stay
Medical Records
Parity
Pelvic Organ Prolapse
Postoperative Complications
Retrospective Studies
Urinary Catheters
Wounds and Injuries

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