Outcomes of abdominal and minimally invasive sacrocolpopexy: a retrospective cohort study.
Outcomes of abdominal and minimally invasive sacrocolpopexy: a retrospective cohort study.
CONCLUSION: Although anatomic results are similar, ASC is associated with a higher rate of complications compared with MISC. METHODS: We performed a multicenter retrospective cohort study comparing abdominal sacrocolpopexy (ASC) and MISC from January 1999 to December 2010. OBJECTIVE: To compare perioperative and postoperative surgical outcomes between and among open and minimally invasive sacrocolpopexies (MISCs). RESULTS: A total of 1124 subjects underwent sacrocolpopexy, with 589 ASCs and 535 MISCs. Within the MISC group, 273 were laparoscopic (LSC) and 262 were robotic (RSC). Abdominal sacrocolpopexy was associated with greater overall complication rate compared with MISC (20.0% vs 12.7%; P = 0.001). After controlling for difference in length of follow-up, there was no significant difference in the rate of anatomical failure between the ASC and MISC groups. The MISC group had shorter hospitalization, less blood loss, but longer operative times compared with the ASC group. When comparing LSC to RSC, there was no difference in anatomic failures (7.7% vs 6.9%; P = 0.74). However, LSC was associated with more complications compared with RSC (18% vs 7%; P < 0.02). In addition, LSC had higher blood loss, less operative time, and shorter hospital stay compared with RSC.
English
2151-8378
*Gynecologic Surgical Procedures/ae [Adverse Effects]
*Laparoscopy/ae [Adverse Effects]
*Postoperative Complications/et [Etiology]
*Surgical Procedures, Minimally Invasive/ae [Adverse Effects]
Abdomen/su [Surgery]
Aged
Female
Gynecologic Surgical Procedures/mt [Methods]
Humans
Laparoscopy/mt [Methods]
Middle Aged
Retrospective Studies
Robotics
Sacrococcygeal Region/su [Surgery]
Surgical Procedures, Minimally Invasive/mt [Methods]
Treatment Outcome
MedStar Washington Hospital Center
Obstetrics and Gynecology/Female Pelvic Medicine and Reconstructive Surgery
Comparative Study
Journal Article
Multicenter Study
CONCLUSION: Although anatomic results are similar, ASC is associated with a higher rate of complications compared with MISC. METHODS: We performed a multicenter retrospective cohort study comparing abdominal sacrocolpopexy (ASC) and MISC from January 1999 to December 2010. OBJECTIVE: To compare perioperative and postoperative surgical outcomes between and among open and minimally invasive sacrocolpopexies (MISCs). RESULTS: A total of 1124 subjects underwent sacrocolpopexy, with 589 ASCs and 535 MISCs. Within the MISC group, 273 were laparoscopic (LSC) and 262 were robotic (RSC). Abdominal sacrocolpopexy was associated with greater overall complication rate compared with MISC (20.0% vs 12.7%; P = 0.001). After controlling for difference in length of follow-up, there was no significant difference in the rate of anatomical failure between the ASC and MISC groups. The MISC group had shorter hospitalization, less blood loss, but longer operative times compared with the ASC group. When comparing LSC to RSC, there was no difference in anatomic failures (7.7% vs 6.9%; P = 0.74). However, LSC was associated with more complications compared with RSC (18% vs 7%; P < 0.02). In addition, LSC had higher blood loss, less operative time, and shorter hospital stay compared with RSC.
English
2151-8378
*Gynecologic Surgical Procedures/ae [Adverse Effects]
*Laparoscopy/ae [Adverse Effects]
*Postoperative Complications/et [Etiology]
*Surgical Procedures, Minimally Invasive/ae [Adverse Effects]
Abdomen/su [Surgery]
Aged
Female
Gynecologic Surgical Procedures/mt [Methods]
Humans
Laparoscopy/mt [Methods]
Middle Aged
Retrospective Studies
Robotics
Sacrococcygeal Region/su [Surgery]
Surgical Procedures, Minimally Invasive/mt [Methods]
Treatment Outcome
MedStar Washington Hospital Center
Obstetrics and Gynecology/Female Pelvic Medicine and Reconstructive Surgery
Comparative Study
Journal Article
Multicenter Study