Gynecological surgery in octogenarians and nonagenarians

The study analyzed morbidity and mortality rates among octogenarian and nonagenarian patients who underwent operations for gynecologic indications. A retrospective chart review was performed for patients, aged ≥80 years, who underwent gynecologic procedures between January 1, 1995, and September 30,...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2004-05, Vol.190 (5), p.1401-1403
Main Authors: Parker, Deborah Y, Burke, James J, Gallup, Donald G
Format: Article
Language:English
Subjects:
Age Factors
Aged
Aged, 80 and over
Biological and medical sciences
Female
Follow-Up Studies
Frail Elderly
Genital Diseases, Female - diagnosis
Genital Diseases, Female - mortality
Genital Diseases, Female - surgery
Geriatric Assessment
Gynecologic surgery
Gynecologic Surgical Procedures - standards
Gynecologic Surgical Procedures - trends
Gynecology. Andrology. Obstetrics
Humans
Length of Stay
Medical sciences
Nonagenarian
Octogenarian
Postoperative Complications - mortality
Retrospective Studies
Risk Assessment
Survival Analysis
Treatment Outcome
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Summary:The study analyzed morbidity and mortality rates among octogenarian and nonagenarian patients who underwent operations for gynecologic indications. A retrospective chart review was performed for patients, aged ≥80 years, who underwent gynecologic procedures between January 1, 1995, and September 30, 2000. Information obtained included a complete medical history, type of surgical procedure, length of hospital stay, and discharge disposition. Simple demographic statistics were used. Sixty-two patients (mean age, 83.6 years) were identified. Seventy-seven operative procedures, 49 major and 28 minor, were performed. All patients were discharged home, except 2, who were discharged to nursing homes. Sixteen patients, who underwent minor procedures, were discharged the same day, and 6 patients were admitted for “23” hour stays. There were 11 perioperative complications and no perioperative deaths. Successful gynecologic surgical outcomes with minimal morbidity are achievable in octogenarian patients and nonagenarian patients with optimization of co-medical conditions and careful perioperative treatment. Age should not be the sole determinant in the decision-making process.
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2004.01.065