Skip Navigation LinksHome > January/February 2014 - Volume 20 - Issue 1 > Outcomes of Abdominal and Minimally Invasive Sacrocolpopexy:...
Female Pelvic Medicine & Reconstructive Surgery:
doi: 10.1097/SPV.0000000000000036
Original Articles

Outcomes of Abdominal and Minimally Invasive Sacrocolpopexy: A Retrospective Cohort Study

Nosti, Patrick A. MD*; Andy, Uduak Umoh MD; Kane, Sarah MD; White, Dena E. MD§; Harvie, Heidi S. MD, MBA, MSCE; Lowenstein, Lior MD, MS; Gutman, Robert E. MD*

Collapse Box

Abstract

Objective

To compare perioperative and postoperative surgical outcomes between and among open and minimally invasive sacrocolpopexies (MISCs).

Methods

We performed a multicenter retrospective cohort study comparing abdominal sacrocolpopexy (ASC) and MISC from January 1999 to December 2010.

Results

A total of 1124 subjects underwent sacrocolpopexy, with 589 ASCs and 535 MISCs. Within the MISC group, 273 were laparoscopic (LSC) and 262 were robotic (RSC). Abdominal sacrocolpopexy was associated with greater overall complication rate compared with MISC (20.0% vs 12.7%; P = 0.001). After controlling for difference in length of follow-up, there was no significant difference in the rate of anatomical failure between the ASC and MISC groups. The MISC group had shorter hospitalization, less blood loss, but longer operative times compared with the ASC group. When comparing LSC to RSC, there was no difference in anatomic failures (7.7% vs 6.9%; P = 0.74). However, LSC was associated with more complications compared with RSC (18% vs 7%; P < 0.02). In addition, LSC had higher blood loss, less operative time, and shorter hospital stay compared with RSC.

Conclusion

Although anatomic results are similar, ASC is associated with a higher rate of complications compared with MISC.

Copyright © 2013 by Lippincott Williams & Wilkins

Login

Article Tools

Share

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.