-
Je něco špatně v tomto záznamu ?
Rates of severe complications in patients undergoing colorectal surgery for deep endometriosis-a retrospective multicenter observational study
G. Hudelist, M. Korell, M. Burkhardt, R. Chvatal, E. Darici, D. Dimitrova, J. Drahonovsky, B. Haj Hamoud, D. Hornung, B. Krämer, G. Noe, P. Oppelt, SD. Schäfer, B. Seeber, UA. Ulrich, R. Wenzl, RL. De Wilde, P. Wimberger, B. Senft, J. Keckstein,...
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, multicentrická studie, pozorovací studie
NLK
PubMed Central
od 2022
ProQuest Central
od 2022-01-01
Health & Medicine (ProQuest)
od 2022-01-01
Wiley-Blackwell Open Access Titles
od 2022
PubMed
35818905
DOI
10.1111/aogs.14418
Knihovny.cz E-zdroje
- MeSH
- absces komplikace etiologie MeSH
- endometrióza * komplikace chirurgie MeSH
- kolorektální chirurgie * škodlivé účinky MeSH
- kolorektální nádory * komplikace chirurgie MeSH
- laparoskopie * metody MeSH
- lidé MeSH
- nemoci rekta * chirurgie MeSH
- netěsnost anastomózy epidemiologie etiologie chirurgie MeSH
- pooperační komplikace etiologie MeSH
- retrospektivní studie MeSH
- výsledek terapie MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- pozorovací studie MeSH
INTRODUCTION: Surgical experience and hospital procedure volumes have been associated with the risk of severe complications in expert centers for endometriosis in France. However, little is known about other certified units in Central European countries. MATERIAL AND METHODS: This retrospective observational study included 937 women who underwent surgery for colorectal endometriosis between January 2018 and January 2020 in 19 participating expert centers for endometriosis. All women underwent complete excision of colorectal endometriosis by rectal shaving, discoid or segmental resection. Postoperative severe complications were defined as grades III-IV of the Clavien-Dindo classification system including anastomotic leakage, fistula, pelvic abscess and hematoma. Surgical outcomes of centers performing less than 40 (group 1), 40-59 (group 2) and ≥60 procedures (group 3) over a period of 2 years were compared. RESULTS: The overall complication rate of grade III and IV complications was 5.1% (48/937), with rates of anastomotic leakage, fistula formation, abscess and hemorrhage in segmental resection, discoid resection and rectal shaving, respectively, as follows: anastomotic leakage 3.6% (14/387), 1.4% (3/222), 0.6% (2/328); fistula formation 1.6% (6/387), 0.5% (1/222), 0.9%; (3/328); abscess 0.5% (2/387), 0% (0/222) and 0.6% (2/328); hemorrhage 2.1% (8/387), 0.9% (2/222) and 1.5% (5/328). Higher overall complication rates were observed for segmental resection (30/387, 7.8%) than for discoid (6/222, 2.7%, P = 0.015) or shaving procedures (12/328, 3.7%, P = 0.089). No significant correlation was observed between the number of procedures performed and overall complication rates (rSpearman = -0.115; P = 0.639) with a high variability of complications in low-volume centers (group 1). However, an intergroup comparison revealed a significantly lower overall severe complication rate in group 3 than in group 2 (2.9% vs 6.9%; P = 0.017) without significant differences between other groups. CONCLUSIONS: A high variability in complication rates does exist in centers with a low volume of activity. Major complications may decrease with an increase in the volume of activity but this effect cannot be generally applied to all institutions and settings.
Department of Gynecology and Obsterics Medical University Hospital Münster Münster Germany
Department of Gynecology and Obsterics Medical University of Bern Inselspital Bern Switzerland
Department of Gynecology and Obsterics Medical University of Vienna Vienna Austria
Department of Gynecology and Obstetrics Kepler Medical University of Linz Linz Austria
Department of Gynecology Center for Endometriosis Hospital St John of God
Department of Obstetrics and Department of Gynecology Rhineland Clinic Dormagen Germany
Department of Obstetrics and Department of Gynecology University of Prague Prague Czech Republic
Department of Obstetrics and Department of Gynecology University of Tübingen Tübingen Germany
Department of Obstetrics and Gynecology Johanna Etienne Hospital Neuss Germany
Department of Obstetrics and Gynecology Martin Luther Hospital Berlin Berlin Germany
Department of Obstetrics and Gynecology Medius Klinik Ostfildern Ostfildern Germany
Department of Obstetrics and Gynecology Technical University Dresden Dresden Germany
Department of Obstetrics and Gynecology University Saarland Homburg Germany
Department of Obstetrics and Gynecology Znojmo District Hospital Znojmo Czech Republic
Gynecological Practice Drs Keckstein Villach Austria
Praxisklinik am Rosengarten Mannheim Germany
Citace poskytuje Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc22033207
- 003
- CZ-PrNML
- 005
- 20230131151315.0
- 007
- ta
- 008
- 230120s2022 xxu f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.1111/aogs.14418 $2 doi
- 035 __
- $a (PubMed)35818905
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a xxu
- 100 1_
- $a Hudelist, Gernot $u Department of Gynecology, Center for Endometriosis, Hospital St. John of God; Rudolfinerhaus Private Clinic and Campus, Vienna, Austria $1 https://orcid.org/0000000294242208
- 245 10
- $a Rates of severe complications in patients undergoing colorectal surgery for deep endometriosis-a retrospective multicenter observational study / $c G. Hudelist, M. Korell, M. Burkhardt, R. Chvatal, E. Darici, D. Dimitrova, J. Drahonovsky, B. Haj Hamoud, D. Hornung, B. Krämer, G. Noe, P. Oppelt, SD. Schäfer, B. Seeber, UA. Ulrich, R. Wenzl, RL. De Wilde, P. Wimberger, B. Senft, J. Keckstein, E. Montanari, C. Vaineau, M. Sillem
- 520 9_
- $a INTRODUCTION: Surgical experience and hospital procedure volumes have been associated with the risk of severe complications in expert centers for endometriosis in France. However, little is known about other certified units in Central European countries. MATERIAL AND METHODS: This retrospective observational study included 937 women who underwent surgery for colorectal endometriosis between January 2018 and January 2020 in 19 participating expert centers for endometriosis. All women underwent complete excision of colorectal endometriosis by rectal shaving, discoid or segmental resection. Postoperative severe complications were defined as grades III-IV of the Clavien-Dindo classification system including anastomotic leakage, fistula, pelvic abscess and hematoma. Surgical outcomes of centers performing less than 40 (group 1), 40-59 (group 2) and ≥60 procedures (group 3) over a period of 2 years were compared. RESULTS: The overall complication rate of grade III and IV complications was 5.1% (48/937), with rates of anastomotic leakage, fistula formation, abscess and hemorrhage in segmental resection, discoid resection and rectal shaving, respectively, as follows: anastomotic leakage 3.6% (14/387), 1.4% (3/222), 0.6% (2/328); fistula formation 1.6% (6/387), 0.5% (1/222), 0.9%; (3/328); abscess 0.5% (2/387), 0% (0/222) and 0.6% (2/328); hemorrhage 2.1% (8/387), 0.9% (2/222) and 1.5% (5/328). Higher overall complication rates were observed for segmental resection (30/387, 7.8%) than for discoid (6/222, 2.7%, P = 0.015) or shaving procedures (12/328, 3.7%, P = 0.089). No significant correlation was observed between the number of procedures performed and overall complication rates (rSpearman = -0.115; P = 0.639) with a high variability of complications in low-volume centers (group 1). However, an intergroup comparison revealed a significantly lower overall severe complication rate in group 3 than in group 2 (2.9% vs 6.9%; P = 0.017) without significant differences between other groups. CONCLUSIONS: A high variability in complication rates does exist in centers with a low volume of activity. Major complications may decrease with an increase in the volume of activity but this effect cannot be generally applied to all institutions and settings.
- 650 _2
- $a absces $x komplikace $x etiologie $7 D000038
- 650 _2
- $a netěsnost anastomózy $x epidemiologie $x etiologie $x chirurgie $7 D057868
- 650 12
- $a kolorektální nádory $x komplikace $x chirurgie $7 D015179
- 650 12
- $a kolorektální chirurgie $x škodlivé účinky $7 D003107
- 650 12
- $a endometrióza $x komplikace $x chirurgie $7 D004715
- 650 _2
- $a ženské pohlaví $7 D005260
- 650 _2
- $a lidé $7 D006801
- 650 12
- $a laparoskopie $x metody $7 D010535
- 650 _2
- $a pooperační komplikace $x etiologie $7 D011183
- 650 12
- $a nemoci rekta $x chirurgie $7 D012002
- 650 _2
- $a retrospektivní studie $7 D012189
- 650 _2
- $a výsledek terapie $7 D016896
- 655 _2
- $a časopisecké články $7 D016428
- 655 _2
- $a multicentrická studie $7 D016448
- 655 _2
- $a pozorovací studie $7 D064888
- 700 1_
- $a Korell, Matthias $u Department of Obstetrics and Gynecology, Johanna-Etienne-Hospital, Neuss, Germany
- 700 1_
- $a Burkhardt, Michael $u Department of Obstetrics and Gynecology, Medius Klinik Ostfildern, Ostfildern, Germany
- 700 1_
- $a Chvatal, Radek $u Department of Obstetrics and Gynecology, Znojmo District Hospital, Znojmo, Czech Republic
- 700 1_
- $a Darici, Ezgi $u Brussels IVF, Center for Reproductive Medicine Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium $1 https://orcid.org/0000000195701165
- 700 1_
- $a Dimitrova, Desislava $u Department of Obstetrics and Gynecology with Center for Oncological Surgery, Charité - Universitätsmedizin, Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
- 700 1_
- $a Drahonovsky, Jan $u Department of Obstetrics and Department of Gynecology, University of Prague, Prague, Czech Republic
- 700 1_
- $a Haj Hamoud, Bashar $u Department of Obstetrics and Gynecology, University Saarland, Homburg, Germany $1 https://orcid.org/000000021386409X
- 700 1_
- $a Hornung, Daniela $u Department of Obstetrics and Gynecology, Vidiakliniken, Diakonissen Hospital Karlsruhe, Karlsruhe, Germany
- 700 1_
- $a Krämer, Bernhard $u Department of Obstetrics and Department of Gynecology, University of Tübingen, Tübingen, Germany
- 700 1_
- $a Noe, Guenter $u Department of Obstetrics and Department of Gynecology, Rhineland Clinic, Dormagen, Germany
- 700 1_
- $a Oppelt, Peter $u Department of Gynecology and Obstetrics, Kepler Medical University of Linz, Linz, Austria
- 700 1_
- $a Schäfer, Sebastian Daniel $u Department of Gynecology and Obsterics, Medical University Hospital Münster, Münster, Germany $1 https://orcid.org/0000000280101463
- 700 1_
- $a Seeber, Beata $u Department of Gynecologic Endocrinology and Reproductive Medicine, Medical University of Innsbruck, Innsbruck, Austria
- 700 1_
- $a Ulrich, Uwe Andreas $u Department of Obstetrics and Gynecology, Martin Luther Hospital Berlin, Berlin, Germany
- 700 1_
- $a Wenzl, Rene $u Department of Gynecology and Obsterics, Medical University of Vienna, Vienna, Austria
- 700 1_
- $a De Wilde, Rudy Leon $u Department of Gynecology and Obstetrics, Pius Hospital, Universitätsmedizin Oldenburg, Carl von Ossietzky University of Oldenburg, Oldenburg, Germany
- 700 1_
- $a Wimberger, Pauline $u Department of Obstetrics and Gynecology, Technical University Dresden, Dresden, Germany
- 700 1_
- $a Senft, Birgit $u Statistix Institute, Klagenfurt, Austria
- 700 1_
- $a Keckstein, Joerg $u Gynecological Practice, Drs Keckstein, Villach, Austria $1 https://orcid.org/0000000239433300
- 700 1_
- $a Montanari, Eliana $u Department of Gynecology, Center for Endometriosis, Hospital St. John of God; Rudolfinerhaus Private Clinic and Campus, Vienna, Austria $1 https://orcid.org/0000000241617328
- 700 1_
- $a Vaineau, Cloe $u Department of Gynecology and Obsterics, Medical University of Bern, Inselspital, Bern, Switzerland
- 700 1_
- $a Sillem, Martin $u Department of Obstetrics and Gynecology, University Saarland, Homburg, Germany $u Praxisklinik am Rosengarten, Mannheim, Germany
- 773 0_
- $w MED00009026 $t Acta obstetricia et gynecologica Scandinavica $x 1600-0412 $g Roč. 101, č. 10 (2022), s. 1057-1064
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/35818905 $y Pubmed
- 910 __
- $a ABA008 $b sig $c sign $y p $z 0
- 990 __
- $a 20230120 $b ABA008
- 991 __
- $a 20230131151311 $b ABA008
- 999 __
- $a ok $b bmc $g 1891773 $s 1184542
- BAS __
- $a 3
- BAS __
- $a PreBMC-MEDLINE
- BMC __
- $a 2022 $b 101 $c 10 $d 1057-1064 $e 20220712 $i 1600-0412 $m Acta obstetricia et gynecologica Scandinavica $n Acta Obstet Gynecol Scand $x MED00009026
- LZP __
- $a Pubmed-20230120
