Postoperative appointments: which ones count?
| Autor: | A. Leader-Cramer, Margaret G. Mueller, Dana Elborno, Christina Lewicky-Gaupp, Kimberly Kenton, B. Dave |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors Ileus Urology Urinary Incontinence Stress Pelvic Organ Prolapse Sling (weapon) Urogynecology 03 medical and health sciences Appointments and Schedules 0302 clinical medicine Gynecologic Surgical Procedures Postoperative Complications medicine Humans 030212 general & internal medicine Aged Chicago 030219 obstetrics & reproductive medicine Pelvic floor business.industry Urinary retention Medical record Obstetrics and Gynecology Middle Aged medicine.disease Surgery Bowel obstruction medicine.anatomical_structure Female medicine.symptom business Complication |
| Zdroj: | International urogynecology journal. 27(12) |
| ISSN: | 1433-3023 |
| Popis: | Although postoperative complications in women undergoing reconstructive pelvic surgery (RPS) have been characterized, little is known regarding the timeline of these occurrences. We aimed to determine the timeframe after RPS during which the majority of complications occur, to assist with planning intervals between postoperative visits. Women undergoing RPS were identified through billing information. Demographic, surgical, and complications data were extracted from electronic medical records. The Pelvic Floor Complication scale is a surgical scale tailored to women undergoing RPS. It contains three subscales: intraoperative, immediately postoperative, and delayed complications. We applied this scale to each postoperative visit (at 2, 6, and 13 weeks). 396 women underwent RPS and 125 patients had 179 complications, most of which (66 %) were identified by the 2-week visit. Complications at the 2-week visit consisted of urinary tract infection (UTI; 46 %), wound infection (10.0 %), and urinary retention (9.4 %). The majority of serious complications (venous thromboembolism [VTE], ileus, small bowel obstruction [SBO], readmission, and reoperation [1 incarcerated hernia and 1 sling release]) were diagnosed by 2 weeks. One patient was readmitted for ileus at between 2 and 6 weeks. At between 6 and 13 weeks, 1 patient was readmitted with SBO; 1 VTE was diagnosed; and 1 required reoperation for a prolapsed fallopian tube. In contrast, two thirds of the complications seen at the 13-week visit were due to granulation tissue, suture erosion or mesh erosion. The majority of non-mesh-related complications occur within the first 2 weeks after RPS, whereas mesh and suture complications are more likely to be identified at the 13-week visit. |
| Databáze: | OpenAIRE |
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