Table 2.
Perioperative Events and Complications
| Ligament Shortening N=119 |
Vaginal Colpopexy N=211 |
P value | |
|---|---|---|---|
| Concomitant Procedures | |||
| Anterior Repair Alone | 26 (21.8) | 38 (18) | 0.4 |
| Posterior Repair Alone | 22 (18.5) | 63 (29.9) | 0.02 |
|
| |||
| Combined A&P Repair | 71 (59.7) | 110 (52.1) | 0.2 |
| Incontinence Sling | 37 (31.1) | 55 (26.1) | 0.3 |
| Intraoperative Events* | |||
| Length of Surgery, minutes | 150.1±47.8 | 159.5±48.5 | 0.09 |
|
| |||
| Any Intraop Complication | 5.9 (7) | 4.7 (10) | 0.6 |
|
| |||
| Bladder Injury | 2.5 (3) | 1.4 (3) | 0.4** |
|
| |||
| Ureter Injury | 0 (0) | 1.9 (4)ˆ | 0.3** |
|
| |||
| Rectal Injury | 1.7 (2) | 0 (0) | 0.1** |
|
| |||
| Intraop Hemorrhage | 0.8 (1) | 1.4 (3) | 1** |
|
| |||
| EBL, mL | 159±207.2 | 166.3±255.9 | 0.8 |
|
| |||
| Postoperative Events | |||
|
| |||
| Any Postop Complication | 10.1 (12) | 10.4 (22) | 0.9 |
|
| |||
| Length of Stay, days | 1.5±0.7 | 1.4±0.9 | 0.7 |
|
| |||
| Admission >7 days | 0 (0) | 0.5 (1) | 0.6** |
|
| |||
| ICU Admission | 0 (0) | 0.9 (2) | 0.4** |
|
| |||
| Readmission | 1.7 (2) | 2.8 (6) | 0.4** |
|
| |||
| UTI | 9.2 (11) | 7.1 (15) | 0.5 |
|
| |||
| Pelvic Abscess | 0 (0) | 1.9 (4) | 0.2** |
|
| |||
| Cardiac Complication | 0 (0) | 0.5 (1) | 0.6** |
|
| |||
| Nerve Injury | 0 (0) | 0.5 (1) | 0.6** |
|
| |||
| Length of Follow-up, months | 21±18.7 | 19.5±17.4 | 0.8 |
Mean±SD, % (N), P values shown are Chi square for categorical variables, t-tests for continuous variables
EBL = estimated blood loss; ICU = intensive care unit; UTI = urinary tract infection
*
Intraoperative injuries were identified via operative note review and considered significant if they required removal of sutures or performance of additional procedures to resolve
**
Fisher’s exact test
ˆ
All injuries due to ureteral kinking which resolved with suture removal