Abstract
Objectives:To evaluate the intra- and postoperative gastrointestinal complications following abdominal sacrocolpopexy and determine the possible causes.Methods:A total of 86 patients who underwent abdominal sacrocolpopexy due to symptomatic pelvic organ prolapse between January 2014 and January 2016 at İzmir Tepecik Training and Research Hospital Obstetrics and Gynecology Clinic were retrospectively reviewed using the hospital information system. Patients were divided into two groups: those with and without prolonged length of hospital stay. They were evaluated in terms of gastrointestinal complications and risk factors.Results:The reason for prolonged hospitalization was nausea and vomiting in 24 (88%) of 27 patients. The symptoms in these patients were recovered with hydration, stopping of oral intake, and administration of antiemetics. Nasogastric decompression and parenteral nutrition were required in three (11%) patients due to clinical and radiological evidence of ileus. The parameter that significantly prolonged the length of hospital stay was prior abdominal surgery (p < 0.05).Conclusion:There were obvious gastrointestinal complications in three out of 27 patients with prolonged length of hospital stay. These findings may be beneficial for preoperative patient counselling.
Highlights
Pelvic organ prolapse (POP), defined as the downward herniation of female pelvic organs, is a condition that seriously affects the quality of life of females; its true prevalence is unknown
The objective of our study was to evaluate the gastrointestinal complications which prolong the length of hospital stay, require readmission or repeat surgery after discharge, and increase the morbidity and mortality in patients undergoing abdominal sacrocolpopexy
Antiemetic drugs must be used for prophylaxis in patients who are at the risk of experiencing postoperative nausea and vomiting.[13]
Summary
Pelvic organ prolapse (POP), defined as the downward herniation of female pelvic organs, is a condition that seriously affects the quality of life of females; its true prevalence is unknown. Symptomatic POP prevalence is estimated to be 2.9%.1. The most common risk factors for the development of POP include parity, advanced age, and obesity.[2]. Pak J Med Sci July - August 2018 Vol 34 No 4 www.pjms.com.pk 940 birth.[3] Aging, hypoestrogenism, and degenerative and organic diseases, whose prevalence increases with aging, increase the risk of developing POP.[4] The frequency of surgery for prolapse is 0.1% in the age group of 20–29 years, whereas this rate is as high as 11.1% in the age group of 70–79 years.[5]
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