Objective
The purpose of this study was to address the safety of combining aesthetic and pelvic
floor reconstructive procedures.
Study Design
Fifty-four subjects were included in a case-control study; 18 patients undergoing
combined pelvic and plastic reconstructive surgery, age and procedure matched to 18
pelvic surgery and 18 plastic surgery only controls. Chi-square, t test, and Kruskal-Wallis analysis were used to compare the estimated blood loss (EBL),
body mass index (BMI), hospital days, operative times, and complications between the
groups.
Results
No differences were seen with regards to age, BMI, or EBL. There was, however, a significant
increase in minor complications and hospital stay after combined procedures relative
to the pelvic surgery control group but not the aesthetic control group. Operative
times were only greater during combined procedures relative to isolated pelvic floor
procedures.
Conclusion
Combining pelvic and aesthetic procedures may increase complications, operative times,
and length of hospital stay when compared to pelvic reconstructive surgery alone.
Key words
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Article Info
Publication History
Published online: October 10, 2008
Accepted:
July 21,
2008
Received in revised form:
January 15,
2008
Received in revised form:
May 19,
2008
Footnotes
Cite this article as: Craig JB, Noblett KL, Conner CA, et al. Reconstructive pelvic surgery and plastic surgery: safety and efficacy of combined surgery. Am J Obstet Gynecol 2008;199:701.e1-701.e5.
Identification
Copyright
© 2008 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
