Gastrointestinal complications following abdominal sacrocolpopexy for advanced pelvic organ prolapse

William E Whitehead; Catherine S. Bradley; Morton B Brown; Linda Brubaker; Robert E Gutman; R Edward Varner; Anthony G Visco; Anne M Weber; H. Zyczynski

doi:10.1016/j.ajog.2007.02.046

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Gastrointestinal complications following abdominal sacrocolpopexy for advanced pelvic organ prolapse

Conference proceeding

Peer reviewed

Gastrointestinal complications following abdominal sacrocolpopexy for advanced pelvic organ prolapse

William E Whitehead, Catherine S. Bradley, Morton B Brown, Linda Brubaker, Robert E Gutman, R Edward Varner, Anthony G Visco, Anne M Weber and H. Zyczynski

American Journal of Obstetrics and Gynecology, Vol.197(1), pp.78.e1-78.e7

07/01/2007

DOI: 10.1016/j.ajog.2007.02.046

PMID: 17618767

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http://doi.org/10.1016/j.ajog.2007.02.046View

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Abstract

<p>OBJECTIVE: The aims of this secondary analysis of the "Colpopexy And Urinary Reduction Efforts" (CARE) study were to estimate the incidence of postoperative gastrointestinal complications and identify risk factors. STUDY DESIGN: We prospectively identified gastrointestinal complications and serious adverse events (SAE) for 12 months after sacrocolpopexy. Two surgeons independently reviewed reports of ileus or small bowel obstruction (SBO). RESULTS: Eighteen percent of 322 women (average age 61.3 years) reported "nausea, emesis, bloating, or ileus" during hospitalization and 9.8% at 6 weeks. Nineteen women (5.9%; CI 3.8%, 9.1%) had a possible ileus or SBO that generated SAE reports: 4 (1.2%, CI 0.5%,3.2%) were reoperated for SBO, 11 (3.4%, CI 1.9%,6.1%) were readmitted for medical management, and 4 had a prolonged initial hospitalization. Older age (P < .001) was a risk factor for ileus or SBO. CONCLUSION: One in 20 women experiences significant gastrointestinal morbidity after sacrocolpopexy. This information will aid preoperative counseling.</p>

Obstetrics and Gynecology

Aged

Female

Humans

Ileus/epidemiology/etiology/therapy

Incidence

Intestinal Obstruction/epidemiology/etiology/therapy

Middle Aged

Prospective Studies

Reoperation

Risk Factors

Sacrum/surgery

Treatment Outcome

Urogenital Surgical Procedures/adverse effects

Uterine Prolapse/surgery

Details

Title: Subtitle: Gastrointestinal complications following abdominal sacrocolpopexy for advanced pelvic organ prolapse
Creators: William E Whitehead
Catherine S. Bradley - University of Iowa
Morton B Brown
Linda Brubaker
Robert E Gutman
R Edward Varner
Anthony G Visco
Anne M Weber
H. Zyczynski
Resource Type: Conference proceeding
Publication Details: American Journal of Obstetrics and Gynecology, Vol.197(1), pp.78.e1-78.e7
DOI: 10.1016/j.ajog.2007.02.046
PMID: 17618767
NLM abbreviation: Am J Obstet Gynecol
ISSN: 1097-6868
Language: English
Date published: 07/01/2007
Academic Unit: Epidemiology; Obstetrics and Gynecology; Urology
Record Identifier: 9983557241702771

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