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doi:10.22028/D291-34209
Titel: | Incidence of and risk factors for vaginal cuff dehiscence following total laparoscopic hysterectomy: a monocentric hospital analysis |
VerfasserIn: | Radosa, Julia Caroline Radosa, Marc Philipp Zimmermann, Julia Sarah Maria Braun, Eva-Marie Findeklee, Sebastian Wieczorek, Annette Stotz, Lisa Hamza, Amr Takacs, Ferenc Zoltan Risius, Uda Mareke Gerlinger, Christoph Radosa, Christoph Georg Wagenpfeil, Stefan Solomayer, Erich-Franz |
Sprache: | Englisch |
Titel: | Archives of Gynecology and Obstetrics |
Verlag/Plattform: | Springer Nature |
Erscheinungsjahr: | 2021 |
Freie Schlagwörter: | Vaginal cuff dehiscence Total laparoscopic hysterectomy Laparoscopic surgery Risk factors Complication Gynecologic surgery |
DDC-Sachgruppe: | 610 Medizin, Gesundheit |
Dokumenttyp: | Journalartikel / Zeitschriftenartikel |
Abstract: | Purpose Vaginal cuff dehiscence (VCD) is one of the major surgical complications following hysterectomy with data on incidence rates varying largely and studies assessing risk factors being sparse with contradictive results. The aim of this study was to assess the incidence rate of and risk factors for VCD in a homogenous cohort of women treated for benign uterine pathologies via total laparoscopic hysterectomy (TLH) with standardized follow-up. Methods All patients undergoing TLH at the Department of Gynecology and Obstetrics, Saarland University Hospital between November 2010 and February 2019 were retrospectively identified from a prospectively maintained service database. Results VCD occurred in 18 (2.9%) of 617 patients included. In univariate and multivariate analyses, a lower level of surgeon laparoscopic expertise (odds ratio 3.19, 95% confidence interval (CI) 1.0–9.38; p = 0.03) and lower weight of removed uterus (odds ratio 0.99, 95% CI 0.98–0.99; p = 0.02) were associated positively with the risk of VCD. Conclusion In this homogenous cohort undergoing TLH, laparoscopic expertise and uterine weight influenced the risk of postoperative VCD. These findings might help to further reduce the rate of this complication. |
DOI der Erstveröffentlichung: | 10.1007/s00404-021-06064-0 |
Link zu diesem Datensatz: | urn:nbn:de:bsz:291--ds-342091 hdl:20.500.11880/31396 http://dx.doi.org/10.22028/D291-34209 |
ISSN: | 1432-0711 0932-0067 |
Datum des Eintrags: | 21-Jun-2021 |
Fakultät: | M - Medizinische Fakultät |
Fachrichtung: | M - Frauenheilkunde M - Medizinische Biometrie, Epidemiologie und medizinische Informatik |
Professur: | M - Prof. Dr. E.-F. Solomayer M - Prof. Dr. Stefan Wagenpfeil |
Sammlung: | SciDok - Der Wissenschaftsserver der Universität des Saarlandes |
Dateien zu diesem Datensatz:
Datei | Beschreibung | Größe | Format | |
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Radosa2021_Article_IncidenceOfAndRiskFactorsForVa.pdf | 759,21 kB | Adobe PDF | Öffnen/Anzeigen |
Diese Ressource wurde unter folgender Copyright-Bestimmung veröffentlicht: Lizenz von Creative Commons