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Ginekol Pol. 2019;90(12):692-698. doi: 10.5603/GP.2019.0118.

Factors associated with complications of vaginal hysterectomy in patients with pelvic organ prolapse - a single centre's experience.

Author information

1
Department of Obstetrics and Gynecology, Dicle University, Faculty of Medicine, Diyarbakır, Turkey. dr_nurullah_peker@hotmail.com.
2
Department of Obstetrics and Gynecology, Health Sciences University, Gazi Yasargil Training and Research Hospital, Diyarbakir, Turkey.
3
Department of Obstetrics and Gynecology, Adıyaman University, Faculty of Medicine, Adıyaman, Turkey.
4
Department of Obstetrics and Gynecology, Dicle University, Faculty of Medicine, Diyarbakır, Turkey.

Abstract

OBJECTIVES:

The study aimed to examine the predisposing factors that play a role in the development of complications in patients undergoing vaginal hysterectomy.

MATERIAL AND METHODS:

This retrospective analysis was performed on data provided from 239 patients who underwent vaginal hysterectomy due to uterine prolapse at a single centre between January 2008 and August 2018. Complications were defined according to Clavien-Dindo classification of complications. The patients were divided into two groups: with and without complications. We built a model using multivariable logistic regression to examine the relationships between complications and five candidate predictors.

RESULTS:

Intra/postoperative complications developed in 30 patients, and the complication rate was found to be 12.5%. 87.2% of the reported complications were classified as Grade ≤ 2 according to Clavien-Dindo system. It was found that complications were associated with factors such as intraoperative concurrent salpingo-oophorectomy [Odds ratio (OR): 1.24 (1.1-1.4)], low preoperative haemoglobin [OR: 0.96 (0.94-0.98)], uterine weight [OR: 2.69 (2.62-2.76)], and long operation time [OR: 1.04 (1.02-1.07)]. History of pelvic surgery was not found to increase complication rate [OR: 1.11 (0.96-1.27), p = 0.13]. Our multiple logistic regression model correctly classified 74% of participants within the Receiver Operating Characteristic (ROC) curve.

CONCLUSIONS:

Preoperative anaemia, large uterus and concomitant adnexectomy were found to be factors associated with complications during and after vaginal hysterectomy for pelvic organ prolapse.

KEYWORDS:

concurrent salpingo-oophorectomy; operation time; perioperative complications; predisposing factors; uterine weight; vaginal hysterectomy

PMID:
31909461
DOI:
10.5603/GP.2019.0118
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