Factors associated with complications of vaginal hysterectomy in patients with pelvic organ prolapse - a single centre's experience

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dc.authorid0000-0002-3285-9990en_US
dc.contributor.authorPeker, Nurullah
dc.contributor.authorAydın, Edip
dc.contributor.authorYavuz, Mustafa
dc.contributor.authorBademkıran, Muhammed Hanifi
dc.contributor.authorEge, Serhat
dc.contributor.authorKaraçor, Talip
dc.contributor.authorAğaçayak, Elif
dc.date.accessioned2021-09-27T12:56:23Z
dc.date.available2021-09-27T12:56:23Z
dc.date.issued2019en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalıen_US
dc.descriptionPMID:31909461
dc.description
dc.description.abstractObjectives: The study aimed to examine the predisposing factors that play a role in the development of complications in patients undergoing vaginal hysterectomy. Material and methods: This retrospective analysis was performed on data provided from 239 patients who underwent vaginal hysterectomy due to uterine prolapse at a single centre between January 2008 and August 2018. Complications were defined according to Clavien-Dindo classification of complications. The patients were divided into two groups: with and without complications. We built a model using multivariable logistic regression to examine the relationships between complications and five candidate predictors. Results: Intra/postoperative complications developed in 30 patients, and the complication rate was found to be 12.5%. 87.2% of the reported complications were classified as Grade ≤2 according to Clavien-Dindo system. It was found that complications were associated with factors such as intraoperative concurrent salpingo-oophorectomy [Odds ratio (OR): 1.24 (1.1.1.4)], low preoperative haemoglobin [OR: 0.96 (0.94.0.98)], uterine weight [OR: 2.69 (2.62.2.76)], and long operation time [OR: 1.04 (1.02.1.07)]. History of pelvic surgery was not found to increase complication rate [OR: 1.11 (0.96.1.27), p = 0.13]. Our multiple logistic regression model correctly classified 74% of participants within the Receiver Operating Characteristic (ROC) curve. Conclusions: Preoperative anaemia, large uterus and concomitant adnexectomy were found to be factors associated with complications during and after vaginal hysterectomy for pelvic organ prolapse.en_US
dc.identifier.citationPeker, N., Aydın, E., Yavuz, M., Bademkıran, M. H., Ege, S. ve Karaçor, T. (2019). Factors associated with complications of vaginal hysterectomy in patients with pelvic organ prolapse - a single centre's experience. Ginekologia Polska, 90(12), 692-698.en_US
dc.identifier.doi10.5603/GP.2019.0118
dc.identifier.endpage698en_US
dc.identifier.issn0017-0011
dc.identifier.issue12en_US
dc.identifier.pmid31909461
dc.identifier.scopus2-s2.0-85077539043
dc.identifier.scopusqualityQ3
dc.identifier.startpage692en_US
dc.identifier.urihttps://journals.viamedica.pl/ginekologia_polska/article/view/65238
dc.identifier.urihttps://hdl.handle.net/11468/7791
dc.identifier.volume90en_US
dc.identifier.wosWOS:000506310500004
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorPeker, Nurullah
dc.institutionauthorAğaçayak, Elif
dc.language.isoenen_US
dc.publisherVia Medicaen_US
dc.relation.ispartofGinekologia Polska
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectConcurrent salpingo-oophorectomyen_US
dc.subjectOperation timeen_US
dc.subjectPerioperative complicationsen_US
dc.subjectPredisposing factorsen_US
dc.subjectUterine weighten_US
dc.subjectVaginal hysterectomyen_US
dc.titleFactors associated with complications of vaginal hysterectomy in patients with pelvic organ prolapse - a single centre's experienceen_US
dc.titleFactors associated with complications of vaginal hysterectomy in patients with pelvic organ prolapse - a single centre's experience
dc.typeArticleen_US

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