Postoperative Complications After Gynecologic Surgery

Erekson, Elisabeth A.; Yip, Sallis O.; Ciarleglio, Maria; Fried, Terri R.

doi:10.1097/aog.0b013e31822dac5d

Cited by 92 publications

(76 citation statements)

References 13 publications

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“…Most studies were observational (23 of 35) with a total of 1 153 684 patients available for the analysis. Cohorts were composed of patients undergoing lower gastrointestinal (GI) surgery (10 studies), upper GI surgery (6), mixed GI surgery (4), gynaecological surgery (6), urological surgery (4) and mixed abdominal surgery (6) ( Table 1)1 12, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54.…”

Section: Resultsmentioning

confidence: 99%

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Systematic review and meta-analysis of frailty as a predictor of morbidity and mortality after major abdominal surgery

et al. 2017

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BackgroundFrailty is associated with poor prognosis, but the multitude of definitions and scales of assessment makes the impact on outcomes difficult to assess. The aim of this study was to quantify the effect of frailty on postoperative morbidity and mortality, and long‐term mortality after major abdominal surgery, and to evaluate the performance of different frailty metrics.MethodsAn extended literature search was performed to retrieve all original articles investigating whether frailty could affect outcomes after elective major abdominal surgery in adult populations. All possible definitions of frailty were considered. A random‐effects meta‐analysis was carried out for all outcomes of interest. For postoperative morbidity and mortality, overall effect sizes were estimated as odds ratios (OR), whereas the hazard ratio (HR) was calculated for long‐term mortality. The potential effect of the number of domains of the frailty indices was explored through meta‐regression at moderator analysis.ResultsA total of 35 studies with 1 153 684 patients were analysed. Frailty was associated with a significantly increased risk of postoperative major morbidity (OR 2·56, 95 per cent c.i. 2·08 to 3·16), short‐term mortality (OR 5·77, 4·41 to 7·55) and long‐term mortality (HR 2·71, 1·63 to 4·49). All domains were significantly associated with the occurrence of postoperative major morbidity, with ORs ranging from 1·09 (1·00 to 1·18) for co‐morbidity to 2·52 (1·32 to 4·80) for sarcopenia. No moderator effect was observed according to the number of frailty components.ConclusionRegardless of the definition and combination of domains, frailty was significantly associated with an increased risk of postoperative morbidity and mortality after major abdominal surgery.

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Section: Resultsmentioning

confidence: 99%

“…The prevalence of frail patients ranged from 0·5 to 67·2 per cent. Most surgical procedures were performed for cancer; only four studies25 28, 29 41 had fewer than half of the patients without malignancy.…”

Section: Resultsmentioning

confidence: 99%

Systematic review and meta-analysis of frailty as a predictor of morbidity and mortality after major abdominal surgery

et al. 2017

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“…This is somewhat consistent with previous studies which found that only age 80 or older was associated with increased major postoperative complications after gynecologic procedures. 4 Parker and colleagues reported that of 77 patients undergoing benign gynecologic procedures in women age more than 80 years, there was a 14.3% prevalence of postoperative complications, and no mortalities. 5 As displayed in Table 2, there were no patients in this study above the age of 60 years.…”

Section: Discussionmentioning

confidence: 99%

“…However, they did not find an association if women were dichotomized into obese (BMI ≥30 kg/m 2 ) and non-obese women. 4,8 Thus, only extremely low or extremely high BMI appear to be associated with adverse surgical outcomes. This finds further evidence in the present study which, with no obese patients, found no significant association between BMI and postoperative complications.…”

Section: Discussionmentioning

confidence: 99%

Surgical Apgar score in prediction of post-operative complications in gynecological surgery

Ali

Mundkur

2016

Int J Reprod Contracept Obstet Gynecol

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“…Data from the literature show that postoperatively complications may occur in a percentage between 12.3% and 20% (1,2,3). Complications require intensive care and close monitoring of patients.…”

Section: Introductionmentioning

confidence: 99%

Postoperative Investigations Resulting in Cost Reduction in Oncological Patients Undergoing Major Abdominal and Pelvic Surgery

Prunoiu¹,

Marincaş²,

Ionescu³

et al. 2017

chr

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RezumatObiectiv: Costurile în creştere în domeniul îngrijirii sănătăţii sunt de interes tot mai mare şi un factor major care afectează costurile de spitalizare sunt complicaţiile postoperatorii. Complicaţiile după Intervenţiile Chirurgicale Abdominale Majore (ICAM) sunt asociate cu o morbiditate şi mortalitate crescută. În acest studiu sunt estimate costurile îngrijirilor postoperatorii asociate cu complicaţiile. Metodă: Noi am efectuat un studiu retrospectiv pe 254 de pacienţi internaţi în Clinica I de Chirurgie Generală şi Oncologică a Institutului Oncologic din Bucureşti, care au suferit ICAM. Au fost analizate costurile totale de spitalizare, complicaţiile şi tratamentul efectuat. Rezultate: Pentru un pacient care a suferit ICAM, costurile medii pentru intervenţia chirurgicală, fără complicaţii, sunt de 5.791,3 lei şi ajung la o medie de 20.806 lei după complicaţii majore. Concluzie: Rezultatele oferă o perspectivă asupra costurilor de spitalizare la pacienţii oncologici operaţi. Complicaţiile apar la 20,86% dintre pacienţii care au suferit ICAM şi reprezintă 50% dintre costurile totale de îngrijire. Stabilirea şi aplicarea unui protocol care vizează diagnosticarea şi tratamentul precoce al complicaţiilor specifice ar putea duce la o scădere a morbidităţii şi a mortalităţii, dar şi al costurilor de spitalizare.Cuvinte cheie: chirurgia oncologică genitală şi digestivă, complicaţii postoperatorii, costuri spitalizare pacienţi

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Postoperative Complications After Gynecologic Surgery

Cited by 92 publications

References 13 publications

Systematic review and meta-analysis of frailty as a predictor of morbidity and mortality after major abdominal surgery

Systematic review and meta-analysis of frailty as a predictor of morbidity and mortality after major abdominal surgery

Surgical Apgar score in prediction of post-operative complications in gynecological surgery

Postoperative Investigations Resulting in Cost Reduction in Oncological Patients Undergoing Major Abdominal and Pelvic Surgery

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