Surgical Excision of Advanced Endometriosis: Perioperative Outcomes and Impacting Factors

Javier F. Magrina, Magrina JF, Mercedes Espada, Espada M, Kho RM, Rosanne M. Kho, Cetta R, Rachel Cetta, Rachel L. Cetta, Yu-Hui H Chang, Yu‐Hui Chang, Magtibay PM, Paul M. Magtibay
Journal of Minimally Invasive Gynecology · 2015 · vol. 22(6) , pp. 944–950 · doi:10.1016/j.jmig.2015.04.016 · PMID:25917276 · W2101967681
article OA: closed CC0 ⤵ 48 in-corpus citations
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This study analyzed perioperative outcomes for surgical excision of advanced endometriosis, identifying factors that influenced patient recovery and complication rates.

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Abstract

ObjectiveTo determine perioperative outcomes and factors impacting operating time, length of hospital stay, and complications of patients undergoing surgery for stage 3 or 4 endometriosis.DesignRetrospective review of medical records (Canadian Task Force classification II-2).SettingMayo Clinic Hospital, Phoenix, Arizona.PatientsWomen (n = 493) with endometriosis stage 3 and 4 undergoing surgical excision between March 15, 2005, and December 31, 2011.InterventionsRobotic-assisted (n = 331) or laparoscopic (n = 162) excision.MeasurementsAge, body mass index, comorbidities, number and type of procedures per patient, type of surgical approach, operating time, blood loss, intraoperative and postoperative complications (within 42 days), and length of hospital stay.Main resultsThe mean patient age was 39.5 years; body mass index, 25.9; number of procedures, 3.3; operating time, 130.4 minutes; blood loss, 88.5 mL; and hospital stay, 1.0 days. Major complications occurred in 5 patients (1.5%). Fifty-nine patients (12.0%) underwent modified radical hysterectomy, 90 (18.3%) underwent ureteral and/or intestinal resection, and 3 (0.6%) underwent diaphragm resection. Factors significantly associated with operating time included age (p = .008) and blood loss, number of procedures per patient, and robotics (all p < .001). Length of stay was affected by age, operating time, and blood loss (all p < .001). Operating time was the only significant factor associated with postoperative complications (p < .001).ConclusionOperating time is an independent and significant factor for postoperative complications and hospital stay.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Hysterectomy Hysterectomy Hysterectomy Laparoscopy Operative Time Postoperative Complications Robotics Adult Arizona Arizona Blood Loss, Surgical Body Mass Index Endometriosis Endometriosis Endometriosis Female Humans Length of Stay Postoperative Complications

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