Article ; Online: The effect of advanced age on peri- and post-operative complications following pelvic floor repair surgeries.
Archives of gynecology and obstetrics
2024 Volume 309, Issue 5, Page(s) 2247–2252
Abstract: Objectives: To assess whether advanced age is a risk factor for complications following pelvic organ prolapse (POP) repair surgeries using the Clavien-Dindo classification system.: Methods: In this retrospective cohort study, 260 women who had ... ...
| Abstract | Objectives: To assess whether advanced age is a risk factor for complications following pelvic organ prolapse (POP) repair surgeries using the Clavien-Dindo classification system. Methods: In this retrospective cohort study, 260 women who had undergone POP repair surgery at the Soroka University Medical Center (SUMC) between the years 2014-2019 were included. A univariate analysis was conducted to compare the demographical, clinical, obstetrical and operative characteristics of patients by age group (younger or older than 70 years). We performed a similar analysis to assess for the possible association between several variables and post-operative complications. Variables that were found to be associated with post-operative complications (P < 0.2) were included in a multivariate analysis along with advanced age. Results: During the 12 months follow-up period, more than half of the women had experienced at least one post-operative complication. Minor complications (grades 1-2 according to the Clavian-Dindo classification system) were the most common. One woman had died during the follow-up period, and none had experienced organ failure (grade 4). Hysterectomy, as part of POP surgery, was found to be significantly associated with post-operative complications. Additionally, grandmultiparity (> 5 births) showed a tendency towards an increased risk for post-operative complications, however this reached only borderline significance. We found no association between advanced age and post-operative complications. Conclusions: POP repair surgeries are safe for women of all ages. Major complications (grades 3-5) are rare in all age groups. Although advanced age was associated with a higher prevalence of comorbidity and a higher grade of prolapse, no significant difference in the post-operative complications was found between age groups. Concomitant hysterectomy at the time of POP repair surgery is a risk factor for post-operative complications. |
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| MeSH term(s) | Humans ; Female ; Aged ; Retrospective Studies ; Pelvic Floor ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Hysterectomy/adverse effects ; Pelvic Organ Prolapse/surgery ; Pelvic Organ Prolapse/complications |
| Language | English |
| Publishing date | 2024-03-19 |
| Publishing country | Germany |
| Document type | Journal Article |
| ZDB-ID | 896455-5 |
| ISSN | 1432-0711 ; 0932-0067 |
| ISSN (online) | 1432-0711 |
| ISSN | 0932-0067 |
| DOI | 10.1007/s00404-024-07437-x |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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