Reconstructive pelvic surgery and plastic surgery: safety and efficacy of combined surgery - 21/08/11
, Karen L. Noblett, MD, Caroline A. Conner, MD, Michael Budd, MD, Felicia L. Lane, MD
Reprints: Jocelyn B. Craig, MD, Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, UCI Medical Center, 101 The City Drive Building 56, Orange, CA 92868Résumé |
Objective |
The purpose of this study was to address the safety of combining aesthetic and pelvic floor reconstructive procedures.
Study Design |
Fifty-four subjects were included in a case-control study; 18 patients undergoing combined pelvic and plastic reconstructive surgery, age and procedure matched to 18 pelvic surgery and 18 plastic surgery only controls. Chi-square, t test, and Kruskal-Wallis analysis were used to compare the estimated blood loss (EBL), body mass index (BMI), hospital days, operative times, and complications between the groups.
Results |
No differences were seen with regards to age, BMI, or EBL. There was, however, a significant increase in minor complications and hospital stay after combined procedures relative to the pelvic surgery control group but not the aesthetic control group. Operative times were only greater during combined procedures relative to isolated pelvic floor procedures.
Conclusion |
Combining pelvic and aesthetic procedures may increase complications, operative times, and length of hospital stay when compared to pelvic reconstructive surgery alone.
Le texte complet de cet article est disponible en PDF.Key words : abdominoplasty, pelvic reconstructive surgery, plastic surgery, recurrent incontinence
Plan
| Cite this article as: Craig JB, Noblett KL, Conner CA, et al. Reconstructive pelvic surgery and plastic surgery: safety and efficacy of combined surgery. Am J Obstet Gynecol 2008;199:701.e1-701.e5. |
Vol 199 - N° 6
P. null - décembre 2008 Retour au numéro
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