A retrospective cohort study of perioperative management on the morbidity of urogynecologic surgery

作者：Sze Eddie H M^*; Jain Preiya; Hobbs Gerry

来源：International Urogynecology Journal and Pelvic Floor Dysfunction, 2012, 23(9): 1207-1214.

DOI：10.1007/s00192-012-1670-x

• Morbidity
• Urogynecologic surgery

To determine whether premenopausal and early (%26lt; 70) and late postmenopausal women whose comorbidities were screened and managed using a standardized protocol experienced comparable perioperative complications after urogynecologic surgery. %26lt;br%26gt;We retrospectively reviewed the charts of all women who presented for surgical management of their pelvic floor disorders over 4.5 years for any complications, which occurred intraoperatively to 6 weeks postoperatively. %26lt;br%26gt;Late postmenopausal women underwent more vaginal (100/124, 159/246, and 226/288, p %26lt; 0.001) and obliterative (15/124, 0/246, and 4/288, p %26lt; 0.001), and fewer abdominal (9/124, 87/246, and 58/288, p %26lt; 0.001) procedures and had lower body mass index (27.1, 31.4, and 29.4, P %26lt; 0.001) and fewer smokers (4/124, 86/246, and 52/288, p %26lt; 0.001) than premenopausal and early postmenopausal subjects. After adjusting for these differences, the proportions that experienced perioperative complications were similar among the three groups (P = 0.789). %26lt;br%26gt;With standardized screening and management, our premenopausal and early and late postmenopausal women experienced similar perioperative complications.

• 出版日期2012-9