Surgical outcomes of laparoscopic hysterectomy with concomitant endometriosis without bowel or bladder dissection: a cohort analysis to define a case-mix variable
Background Pelvic endometriosis is often mentioned as one of the variables influencing surgical outcomes of laparoscopic hysterectomy (LH). However, its additional surgical risks have not been well established. The aim of this study was to analyze to what extent concomitant endometriosis influences...
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| Veröffentlicht in: | Gynecological surgery 2018, Vol.15 (1), p.8-9, Article 8 |
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| creator | Sandberg, Evelien M. Driessen, Sara R. C. Bak, Evelien A. T. van Geloven, Nan Berger, Judith P. Smeets, Mathilde J. G. H. Rhemrev, Johann P. T. Jansen, Frank Willem |
| description | Background
Pelvic endometriosis is often mentioned as one of the variables influencing surgical outcomes of laparoscopic hysterectomy (LH). However, its additional surgical risks have not been well established. The aim of this study was to analyze to what extent concomitant endometriosis influences surgical outcomes of LH and to determine if it should be considered as case-mix variable.
Results
A total of 2655 LH’s were analyzed, of which 397 (15.0%) with concomitant endometriosis. For blood loss and operative time, no measurable association was found for stages I (
n
= 106) and II (
n
= 103) endometriosis compared to LH without endometriosis. LH with stages III (
n
= 93) and IV (
n
= 95) endometriosis were associated with more intra-operative blood loss (
p
= |
| doi_str_mv | 10.1186/s10397-018-1039-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5856860</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2018665338</sourcerecordid><originalsourceid>FETCH-LOGICAL-c422t-b001c4d5c734103e2b8efe1d4547f9fea02aecc5d71b9c15e7b6f4b0cda6db703</originalsourceid><addsrcrecordid>eNp1kstuFDEQRS0EImHgA9ggS2zYNNjutt3DAimKwkOKxAJYW35UzzjqtgfbnTC_ky_FnQnDQ2Llku69x3ZVIfSckteU9uJNpqRdy4bQvlmqpn2ATqmgbcNI3z081lKcoCc5XxHS9oSzx-iErbkUUtBTdPtlThtv9YjjXGycIOM44FHvdIrZxp23eLvPBRLYEqc9vvFli20M1eqLDgVDcDVVko_Z5zu5grCJN1CRCZtROwcJO59zRfgY3mJdAduYCtZBj_slViJ2MPgAi6YzNJP_ga918tqM8BQ9GvSY4dn9uULf3l98Pf_YXH7-8On87LKxHWOlMYRQ2zluZdvVbgAzPQxAXcc7OawH0IRpsJY7Sc3aUg7SiKEzxDotnJGkXaF3B-5uNhM4C6EkPapd8pNOexW1V38rwW_VJl4r3nPRiwXw6h6Q4vcZclGTzxbGUQeIc1asDkoI3rZ9tb78x3oV51TbcefiknBSjStEDy5bh5ETDMfHUKKWDVCHDVAVrJZKtTXz4s9fHBO_Rl4N7GDIVQobSL-v_j_1J1VjwhI</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2015705065</pqid></control><display><type>article</type><title>Surgical outcomes of laparoscopic hysterectomy with concomitant endometriosis without bowel or bladder dissection: a cohort analysis to define a case-mix variable</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Springer Nature OA Free Journals</source><creator>Sandberg, Evelien M. ; Driessen, Sara R. C. ; Bak, Evelien A. T. ; van Geloven, Nan ; Berger, Judith P. ; Smeets, Mathilde J. G. H. ; Rhemrev, Johann P. T. ; Jansen, Frank Willem</creator><creatorcontrib>Sandberg, Evelien M. ; Driessen, Sara R. C. ; Bak, Evelien A. T. ; van Geloven, Nan ; Berger, Judith P. ; Smeets, Mathilde J. G. H. ; Rhemrev, Johann P. T. ; Jansen, Frank Willem</creatorcontrib><description>Background
Pelvic endometriosis is often mentioned as one of the variables influencing surgical outcomes of laparoscopic hysterectomy (LH). However, its additional surgical risks have not been well established. The aim of this study was to analyze to what extent concomitant endometriosis influences surgical outcomes of LH and to determine if it should be considered as case-mix variable.
Results
A total of 2655 LH’s were analyzed, of which 397 (15.0%) with concomitant endometriosis. For blood loss and operative time, no measurable association was found for stages I (
n
= 106) and II (
n
= 103) endometriosis compared to LH without endometriosis. LH with stages III (
n
= 93) and IV (
n
= 95) endometriosis were associated with more intra-operative blood loss (
p
= < .001) and a prolonged operative time (
p
= < .001) compared to LH without endometriosis. No significant association was found between endometriosis (all stages) and complications (
p
= .62).
Conclusions
The findings of our study have provided numeric support for the influence of concomitant endometriosis on surgical outcomes of LH, without bowel or bladder dissection. Only stages III and IV were associated with a longer operative time and more blood loss and should thus be considered as case-mix variables in future quality measurement tools.</description><identifier>ISSN: 1613-2076</identifier><identifier>EISSN: 1613-2084</identifier><identifier>DOI: 10.1186/s10397-018-1039-3</identifier><identifier>PMID: 29576761</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Bladder ; Breasts ; Cohort analysis ; Endometriosis ; Gynecology ; Hysterectomy ; Interventional Radiology ; Laparoscopy ; Medicine ; Medicine & Public Health ; Minimally Invasive Surgery ; Obstetrics/Perinatology/Midwifery ; Original ; Original Article ; Reproductive Medicine ; Surgical Oncology ; Surgical outcomes</subject><ispartof>Gynecological surgery, 2018, Vol.15 (1), p.8-9, Article 8</ispartof><rights>The Author(s). 2018</rights><rights>Gynecological Surgery is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c422t-b001c4d5c734103e2b8efe1d4547f9fea02aecc5d71b9c15e7b6f4b0cda6db703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1186/s10397-018-1039-3$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://doi.org/10.1186/s10397-018-1039-3$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41096,42165,51551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29576761$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sandberg, Evelien M.</creatorcontrib><creatorcontrib>Driessen, Sara R. C.</creatorcontrib><creatorcontrib>Bak, Evelien A. T.</creatorcontrib><creatorcontrib>van Geloven, Nan</creatorcontrib><creatorcontrib>Berger, Judith P.</creatorcontrib><creatorcontrib>Smeets, Mathilde J. G. H.</creatorcontrib><creatorcontrib>Rhemrev, Johann P. T.</creatorcontrib><creatorcontrib>Jansen, Frank Willem</creatorcontrib><title>Surgical outcomes of laparoscopic hysterectomy with concomitant endometriosis without bowel or bladder dissection: a cohort analysis to define a case-mix variable</title><title>Gynecological surgery</title><addtitle>Gynecol Surg</addtitle><addtitle>Gynecol Surg</addtitle><description>Background
Pelvic endometriosis is often mentioned as one of the variables influencing surgical outcomes of laparoscopic hysterectomy (LH). However, its additional surgical risks have not been well established. The aim of this study was to analyze to what extent concomitant endometriosis influences surgical outcomes of LH and to determine if it should be considered as case-mix variable.
Results
A total of 2655 LH’s were analyzed, of which 397 (15.0%) with concomitant endometriosis. For blood loss and operative time, no measurable association was found for stages I (
n
= 106) and II (
n
= 103) endometriosis compared to LH without endometriosis. LH with stages III (
n
= 93) and IV (
n
= 95) endometriosis were associated with more intra-operative blood loss (
p
= < .001) and a prolonged operative time (
p
= < .001) compared to LH without endometriosis. No significant association was found between endometriosis (all stages) and complications (
p
= .62).
Conclusions
The findings of our study have provided numeric support for the influence of concomitant endometriosis on surgical outcomes of LH, without bowel or bladder dissection. Only stages III and IV were associated with a longer operative time and more blood loss and should thus be considered as case-mix variables in future quality measurement tools.</description><subject>Bladder</subject><subject>Breasts</subject><subject>Cohort analysis</subject><subject>Endometriosis</subject><subject>Gynecology</subject><subject>Hysterectomy</subject><subject>Interventional Radiology</subject><subject>Laparoscopy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Minimally Invasive Surgery</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Original</subject><subject>Original Article</subject><subject>Reproductive Medicine</subject><subject>Surgical Oncology</subject><subject>Surgical outcomes</subject><issn>1613-2076</issn><issn>1613-2084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kstuFDEQRS0EImHgA9ggS2zYNNjutt3DAimKwkOKxAJYW35UzzjqtgfbnTC_ky_FnQnDQ2Llku69x3ZVIfSckteU9uJNpqRdy4bQvlmqpn2ATqmgbcNI3z081lKcoCc5XxHS9oSzx-iErbkUUtBTdPtlThtv9YjjXGycIOM44FHvdIrZxp23eLvPBRLYEqc9vvFli20M1eqLDgVDcDVVko_Z5zu5grCJN1CRCZtROwcJO59zRfgY3mJdAduYCtZBj_slViJ2MPgAi6YzNJP_ga918tqM8BQ9GvSY4dn9uULf3l98Pf_YXH7-8On87LKxHWOlMYRQ2zluZdvVbgAzPQxAXcc7OawH0IRpsJY7Sc3aUg7SiKEzxDotnJGkXaF3B-5uNhM4C6EkPapd8pNOexW1V38rwW_VJl4r3nPRiwXw6h6Q4vcZclGTzxbGUQeIc1asDkoI3rZ9tb78x3oV51TbcefiknBSjStEDy5bh5ETDMfHUKKWDVCHDVAVrJZKtTXz4s9fHBO_Rl4N7GDIVQobSL-v_j_1J1VjwhI</recordid><startdate>2018</startdate><enddate>2018</enddate><creator>Sandberg, Evelien M.</creator><creator>Driessen, Sara R. C.</creator><creator>Bak, Evelien A. T.</creator><creator>van Geloven, Nan</creator><creator>Berger, Judith P.</creator><creator>Smeets, Mathilde J. G. H.</creator><creator>Rhemrev, Johann P. T.</creator><creator>Jansen, Frank Willem</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>2018</creationdate><title>Surgical outcomes of laparoscopic hysterectomy with concomitant endometriosis without bowel or bladder dissection: a cohort analysis to define a case-mix variable</title><author>Sandberg, Evelien M. ; Driessen, Sara R. C. ; Bak, Evelien A. T. ; van Geloven, Nan ; Berger, Judith P. ; Smeets, Mathilde J. G. H. ; Rhemrev, Johann P. T. ; Jansen, Frank Willem</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-b001c4d5c734103e2b8efe1d4547f9fea02aecc5d71b9c15e7b6f4b0cda6db703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Bladder</topic><topic>Breasts</topic><topic>Cohort analysis</topic><topic>Endometriosis</topic><topic>Gynecology</topic><topic>Hysterectomy</topic><topic>Interventional Radiology</topic><topic>Laparoscopy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Minimally Invasive Surgery</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Original</topic><topic>Original Article</topic><topic>Reproductive Medicine</topic><topic>Surgical Oncology</topic><topic>Surgical outcomes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sandberg, Evelien M.</creatorcontrib><creatorcontrib>Driessen, Sara R. C.</creatorcontrib><creatorcontrib>Bak, Evelien A. T.</creatorcontrib><creatorcontrib>van Geloven, Nan</creatorcontrib><creatorcontrib>Berger, Judith P.</creatorcontrib><creatorcontrib>Smeets, Mathilde J. G. H.</creatorcontrib><creatorcontrib>Rhemrev, Johann P. T.</creatorcontrib><creatorcontrib>Jansen, Frank Willem</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Gynecological surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sandberg, Evelien M.</au><au>Driessen, Sara R. C.</au><au>Bak, Evelien A. T.</au><au>van Geloven, Nan</au><au>Berger, Judith P.</au><au>Smeets, Mathilde J. G. H.</au><au>Rhemrev, Johann P. T.</au><au>Jansen, Frank Willem</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical outcomes of laparoscopic hysterectomy with concomitant endometriosis without bowel or bladder dissection: a cohort analysis to define a case-mix variable</atitle><jtitle>Gynecological surgery</jtitle><stitle>Gynecol Surg</stitle><addtitle>Gynecol Surg</addtitle><date>2018</date><risdate>2018</risdate><volume>15</volume><issue>1</issue><spage>8</spage><epage>9</epage><pages>8-9</pages><artnum>8</artnum><issn>1613-2076</issn><eissn>1613-2084</eissn><abstract>Background
Pelvic endometriosis is often mentioned as one of the variables influencing surgical outcomes of laparoscopic hysterectomy (LH). However, its additional surgical risks have not been well established. The aim of this study was to analyze to what extent concomitant endometriosis influences surgical outcomes of LH and to determine if it should be considered as case-mix variable.
Results
A total of 2655 LH’s were analyzed, of which 397 (15.0%) with concomitant endometriosis. For blood loss and operative time, no measurable association was found for stages I (
n
= 106) and II (
n
= 103) endometriosis compared to LH without endometriosis. LH with stages III (
n
= 93) and IV (
n
= 95) endometriosis were associated with more intra-operative blood loss (
p
= < .001) and a prolonged operative time (
p
= < .001) compared to LH without endometriosis. No significant association was found between endometriosis (all stages) and complications (
p
= .62).
Conclusions
The findings of our study have provided numeric support for the influence of concomitant endometriosis on surgical outcomes of LH, without bowel or bladder dissection. Only stages III and IV were associated with a longer operative time and more blood loss and should thus be considered as case-mix variables in future quality measurement tools.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29576761</pmid><doi>10.1186/s10397-018-1039-3</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Springer Nature OA Free Journals |
| subjects | Bladder Breasts Cohort analysis Endometriosis Gynecology Hysterectomy Interventional Radiology Laparoscopy Medicine Medicine & Public Health Minimally Invasive Surgery Obstetrics/Perinatology/Midwifery Original Original Article Reproductive Medicine Surgical Oncology Surgical outcomes |
| title | Surgical outcomes of laparoscopic hysterectomy with concomitant endometriosis without bowel or bladder dissection: a cohort analysis to define a case-mix variable |
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