Reconstructive pelvic surgery and plastic surgery: safety and efficacy of combined surgery

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 matche...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2008-01, Vol.199 (6), p.701.e1-701.e5
Main Authors: Craig, Jocelyn B., MD, Noblett, Karen L., MD, Conner, Caroline A., MD, Budd, Michael, MD, Lane, Felicia L., MD
Format: Article
Language:English
Subjects:
abdominoplasty
Adult
Biological and medical sciences
Case-Control Studies
Chi-Square Distribution
Combined Modality Therapy
Female
Follow-Up Studies
Gynecology. Andrology. Obstetrics
Humans
Lipectomy - methods
Mammaplasty - methods
Medical sciences
Middle Aged
Obstetrics and Gynecology
Patient Satisfaction
pelvic reconstructive surgery
plastic surgery
Postoperative Complications - epidemiology
Probability
Reconstructive Surgical Procedures - methods
recurrent incontinence
Retrospective Studies
Risk Assessment
Suburethral Slings
Surgery, Plastic - methods
Treatment Outcome
Urinary Incontinence, Stress - diagnosis
Urinary Incontinence, Stress - surgery
Uterine Prolapse - diagnosis
Uterine Prolapse - surgery
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Summary: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.
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2008.07.053