Challenges of Longevity: Safety of Vaginal and Laparoscopic Urogynecological Procedures in Septuagenarians and Older Patients
Zitieren Sie bitte immer diese URN: urn:nbn:de:bvb:20-opus-161005
- Introduction. Pelvic organ prolapse (POP) and urinary incontinence (UI) have increasing prevalence in the elderly population. The aim of this study was to compare the comorbidities of these procedures between <70 y/o and ≥70 y/o patients. Materials and Methods. In our retrospective study over a period of 2.5 years, 407 patients had received an urogynecological procedure. All patients with POP were treated by reconstructive surgery. Complications were reported using the standardized classification of Clavien-Dindo (CD). The study can be assignedIntroduction. Pelvic organ prolapse (POP) and urinary incontinence (UI) have increasing prevalence in the elderly population. The aim of this study was to compare the comorbidities of these procedures between <70 y/o and ≥70 y/o patients. Materials and Methods. In our retrospective study over a period of 2.5 years, 407 patients had received an urogynecological procedure. All patients with POP were treated by reconstructive surgery. Complications were reported using the standardized classification of Clavien-Dindo (CD). The study can be assigned to stage 2b Exploration IDEAL (Idea, Development, Exploration, Assessment, Long-term study)-system of surgical innovation. Results. Operation time, blood loss, and intraoperative complications have not been more frequent in the elderly, whereas hospital stay was significantly longer in ≥70 y/o patients. Regarding postoperative complications, we noticed that ≥70 y/o patients had an almost threefold risk to develop mild early postoperative complications compared to younger patients (OR: 2.86; 95% CI: 1.76–4.66). On the contrary, major complications were not more frequent. No case of life-threatening complication or the need for blood transfusion was reported. Conclusion. After urogynecological procedures, septuagenarians and older patients are more likely to develop mild postoperative complications but not more intraoperative or severe postoperative complications compared to younger patients.…
Autor(en): | R. Joukhadar, A. Wöckel, D. Herr, V. Paulus, J. Radosa, A. Hamza, E. Solomayer, S. Baum |
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URN: | urn:nbn:de:bvb:20-opus-161005 |
Dokumentart: | Artikel / Aufsatz in einer Zeitschrift |
Institute der Universität: | Medizinische Fakultät / Frauenklinik und Poliklinik |
Sprache der Veröffentlichung: | Englisch |
Titel des übergeordneten Werkes / der Zeitschrift (Englisch): | BioMed Research International |
Erscheinungsjahr: | 2016 |
Band / Jahrgang: | 2016 |
Heft / Ausgabe: | Article ID 5184595 |
Seitenangabe: | 9 |
Originalveröffentlichung / Quelle: | BioMed Research International Volume 2016, Article ID 5184595, 9 pages http://dx.doi.org/10.1155/2016/5184595 |
DOI: | https://doi.org/10.1155/2016/5184595 |
Allgemeine fachliche Zuordnung (DDC-Klassifikation): | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 618 Gynäkologie, Geburtsmedizin, Pädiatrie, Geriatrie |
Freie Schlagwort(e): | age factors; aged; aged 80 and over; female; gynecologic surgical procedures/methods; laparoscopy/methods; middle Aged; pelvic organ prolapse/surgery; postoperative complications/epidemiology; reconstructive surgical procedures/methods; retrospective Studies; surgical Mesh; urinary incontinence/surgery; uterine prolapse/surgery; vagina/surgery |
Datum der Freischaltung: | 10.07.2018 |
Lizenz (Deutsch): | CC BY: Creative-Commons-Lizenz: Namensnennung |