Surgical management of pelvic organ prolapse in a high‐volume resource‐limited setting
| Autor: | Mukanire Ntakwinja, Albert Mwembo Tambwe, Denis Mukwege, Ali Borazjani, Ziga Vodusek |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Referral Urinary system medicine.medical_treatment Hysterectomy Pelvic Organ Prolapse 03 medical and health sciences Gynecologic Surgical Procedures 0302 clinical medicine Interquartile range Formal education medicine Humans 030212 general & internal medicine Pelvic organ 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology General Medicine Middle Aged Surgery Treatment Outcome Congo Female business Limited resources Body mass index |
| Zdroj: | International Journal of Gynecology & Obstetrics. 156:145-150 |
| ISSN: | 1879-3479 0020-7292 |
| Popis: | OBJECTIVE To describe the care pathway of patients with pelvic organ prolapse in a high-volume resource-limited setting and characterize patients undergoing surgery. METHODS The patient care pathway at a large referral hospital in eastern Democratic Republic of Congo was determined through interviews with key personnel. Patients with apical prolapse (with or without anterior/posterior prolapse) who underwent surgery between January and December 2018 were included. Demographics and outcomes were characterized. Data were presented as means (standard deviation [SD]), medians (interquartile range), or number (percentages). RESULTS A holistic care model was described. During the study period, 772 patients underwent prolapse repairs, 235 met inclusion criteria. Mean age was 55 (±14) years, and 75% (176/235) were postmenopausal. Median parity was 7 (5-9). A majority (56%, 131/233) had body mass index |
| Databáze: | OpenAIRE |
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