Perioperative complications and short-term outcomes of abdominal sacrocolpopexy, laparoscopic sacrocolpopexy, sacrospinous ligament fixation, and iliococcygeus fixation procedures

Alper BİLER; İbrahim Egemen ERTAŞ; Gökhan TOSUN; İsmet HORTU; Ahmet DEMİR; Cüneyt Eftal TANER; Mehmet ÖZEREN; Fatih ŞENDAĞ

Makale detayları

Perioperative complications and short-term outcomes of abdominal sacrocolpopexy, laparoscopic sacrocolpopexy, sacrospinous ligament fixation, and iliococcygeus fixation procedures

Yazarlar:

Alper BİLER | İbrahim Egemen ERTAŞ | Gökhan TOSUN | İsmet HORTU | Ahmet DEMİR | Cüneyt Eftal TANER | Mehmet ÖZEREN | Fatih ŞENDAĞ

Yayıncı:

TUBITAK

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Turkish Journal of Medical Sciences 2018 Vol.48 Issue 3, pp.602-610

Belge Tipi:

Makale

Yayın Tarihi:

5/2018

Belge Dili:

İngilizce

Document ID (Org No.):

2000750738

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Özet:

 

Background/aim: This study aimed to investigate differences in perioperative complications and short-term outcomes of patients  who underwent abdominal sacrocolpopexy/sacrohysteropexy, laparoscopic sacrocolpopexy/sacrohysteropexy, sacrospinous ligament  fixation (SSLF), and iliococcygeus fixation due to apical prolapse.  Materials and methods: The present retrospective cohort study included 145 patients who underwent apical prolapse surgery  performed by the same surgeons between 1/1/2011 and 30/6/2017. There were 68 abdominal sacrocolpopexies (44 sacrocolpopexies and  24 sacrohysteropexies), 13 laparoscopic sacrocolpopexies (10 sacrocolpopexies and 3 sacrohysteropexies), 57 SSLFs, and 7 iliococcygeus  fixations. Patients' short-term outcomes, perioperative complications, blood loss, operative time, and hospital stay were analyzed.  Results: The mean operating time in the laparoscopic sacrocolpopexy group was 179.6 min versus 122.8, 117.3, and 107.1 min in the  SSLF, abdominal sacrocolpopexy, and iliococcygeus fixation groups, respectively (P < 0.01). The hospital stay was significantly shorter in  the iliococcygeus fixation group (1.86 days) when compared with that of other groups (P < 0.01). During a 6-month follow-up period,  no prolapse recurrence or mesh exposure was observed in any groups. Wound complications were more frequent in the abdominal  sacrocolpopexy group. However, the overall complication rate of each group did not differ significantly (P = 0.332).  Conclusion: Overall, complication rates and short-term outcomes for the abdominal, laparoscopic, and vaginal surgical procedures  were not statistically significantly different. However, minimally invasive approaches were associated with reduced procedural-related  morbidity.

Makale detayları

Perioperative complications and short-term outcomes of abdominal sacrocolpopexy, laparoscopic sacrocolpopexy, sacrospinous ligament fixation, and iliococcygeus fixation procedures

Yazarlar: Alper BİLER | İbrahim Egemen ERTAŞ | Gökhan TOSUN | İsmet HORTU | Ahmet DEMİR | Cüneyt Eftal TANER | Mehmet ÖZEREN | Fatih ŞENDAĞ

Yayıncı: TUBITAK

Ana Başlıklar: Sağlık teşvikleri

Dergi: Turkish Journal of Medical Sciences 2018 Vol.48 Issue 3, pp.602-610

Belge Tipi: Makale

Yayın Tarihi: 5/2018

Belge Dili: İngilizce

Document ID (Org No.): 2000750738

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Sayı

Yazarlar:

Alper BİLER | İbrahim Egemen ERTAŞ | Gökhan TOSUN | İsmet HORTU | Ahmet DEMİR | Cüneyt Eftal TANER | Mehmet ÖZEREN | Fatih ŞENDAĞ

Yayıncı:

TUBITAK

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Turkish Journal of Medical Sciences 2018 Vol.48 Issue 3, pp.602-610

Belge Tipi:

Makale

Yayın Tarihi:

5/2018

Belge Dili:

İngilizce

Document ID (Org No.):

2000750738

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144