Gastrointestinal complications following abdominal sacrocolpopexy for advanced pelvic organ prolapse.
Published
Journal Article
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.
Full Text
Duke Authors
Cited Authors
- Whitehead, WE; Bradley, CS; Brown, MB; Brubaker, L; Gutman, RE; Varner, RE; Visco, AG; Weber, AM; Zyczynski, H; Pelvic Floor Network,
Published Date
- July 2007
Published In
Volume / Issue
- 197 / 1
Start / End Page
- 78.e1 - 78.e7
PubMed ID
- 17618767
Pubmed Central ID
- 17618767
Electronic International Standard Serial Number (EISSN)
- 1097-6868
Digital Object Identifier (DOI)
- 10.1016/j.ajog.2007.02.046
Language
- eng
Conference Location
- United States