| Autor: |
Toglia MR, Nolan TE, Toglia, Marc R, Nolan, Thomas E |
| Zdroj: |
American Journal of Obstetrics & Gynecology; Dec2003, Vol. 189 Issue 6, p1584-1589, 6p |
| Abstrakt: |
Objective: The purpose of this study was to report perioperative morbidity and mortality rates in elderly women who undergo gynecologic surgery.Study Design: The charts of 54 consecutive women ages 70 to 85 years who underwent major gynecologic surgery between June 1998 and November 2002 were reviewed retrospectively.Results: The mean age was 76.7 years. Fifty procedures (92.6%) were performed for pelvic organ prolapse and/or urinary incontinence. Forty-nine of the procedures were performed vaginally, and 27 of the procedures (50%) were performed with the use of general anesthesia. Postoperative cardiac complications occurred in five patients (10%), including three myocardial infarctions, two of which were fatal. Other complications included benign cardiac arrhythmias in two patients, slow return of gastrointestinal function in five patients (9.3%), and transient mental status changes in four patients (7.4%). The mean length of stay was 4 days.Conclusion: Postoperative complications occurred infrequently among elderly women who underwent gynecologic surgery. Although age alone is not a contraindication to elective surgery, there may be increased risks for geriatric women. [ABSTRACT FROM AUTHOR] |
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