In appropriately selected patients, combined gynecologic cancer and pelvic floor dysfunction procedures are possible and can be safely performed without differences in postoperative complications, a new study found. The retrospective study included 129 women who underwent combined procedures compared with 25,838 women undergoing gynecologic cancer surgery alone. Researchers found:
- Patients who underwent combined procedures were older, had lower body mass index (BMI), had higher preoperative albumin and hematocrit, and lower morbidity estimates.
- Mean operative was longer with combined procedures.
- There were no statistically significant differences in race, ethnicity, or medical comorbidities.
- There were not statistically significant differences in postoperative complications or readmissions between the groups.
McConnell NJ, Stewart RJ, Martin A, Gaskins JT, Medlin EE. The safety and feasibility of gynecologic cancer surgery combined with surgery for pelvic floor dysfunction. [Published online ahead of print October 22, 2018]. Female Pelvic Med Reconstr Surg. doi:10.1097/SPV.0000000000000621.
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Must Reads in Gynecologic Cancer
Maternal Factors in Cervical Cancer Prevention, Womens Health Issues; ePub 2019 Jan 10; Charlton, et al
Combined Gynecologic Ca & Pelvic Floor Dysfunction Surgery, Female Pelvic Med Reconstr Surg; ePub 2018 Oct 22; McConnell, et al