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Incidence of corneal abrasions during pelvic reconstructive surgery.

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Citation: European Journal of Obstetrics, Gynecology, & Reproductive Biology. 166(2):226-8, 2013 Feb.PMID: 23265300Institution: MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology/Female Pelvic Medicine and Reconstructive SurgeryForm of publication: Journal ArticleMedline article type(s): Comparative Study | Journal ArticleSubject headings: *Cornea/in [Injuries] | *Eye Injuries/et [Etiology] | *Gynecologic Surgical Procedures/ae [Adverse Effects] | *Laparoscopy/ae [Adverse Effects] | *Pelvic Organ Prolapse/su [Surgery] | Aged | District of Columbia/ep [Epidemiology] | Eye Injuries/ep [Epidemiology] | Female | Humans | Incidence | Middle Aged | Reconstructive Surgical Procedures/ae [Adverse Effects] | Retrospective Studies | RoboticsYear: 2013 ISSN:

0301-2115

Name of journal: European journal of obstetrics, gynecology, and reproductive biologyAbstract: CONCLUSION: More corneal abrasions occurred with laparoscopic and robotic sacral colpopexy compared to vaginal apical suspension procedures. Risk factors could not be identified in this study. Copyright 2012 Elsevier Ireland Ltd. All rights reserved.OBJECTIVES: To compare the incidence of corneal abrasions after robotic/laparoscopic sacral colpopexies versus vaginal apical suspensions, and to determine risk factors associated with the development of corneal abrasions.RESULTS: 5/216 (2.3%) patients developed corneal abrasions in the sacral colpopexy group compared to 1/332 (0.3%) in the vaginal group (p=0.04). Eye protection was more frequently documented in the sacral colpopexy group compared to the vaginal group (98.6% vs. 83.4%, p<0.001). Women in the sacral colpopexy group were younger, with longer operating times, more intravenous fluids, and lower estimated blood loss. Risk factors for corneal abrasion could not be identified due to the low number of patients with corneal abrasions.STUDY DESIGN: This retrospective cohort study included all women undergoing robotic/laparoscopic sacral colpopexy or vaginal apical suspensions over a 5-year period. The incidence of corneal abrasions was compared between groups and statistical analysis was performed.All authors: Antosh DD, Chen BA, Ezzell A, Park AJ, Sokol AI, Whyte TFiscal year: FY2013Digital Object Identifier:

http://dx.doi.org/10.1016/j.ejogrb.2012.11.003

Date added to catalog: 2013-09-17

Holdings ( 1 )
Title notes ( 5 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	23265300	Available		23265300

CONCLUSION: More corneal abrasions occurred with laparoscopic and robotic sacral colpopexy compared to vaginal apical suspension procedures. Risk factors could not be identified in this study. Copyright 2012 Elsevier Ireland Ltd. All rights reserved.

OBJECTIVES: To compare the incidence of corneal abrasions after robotic/laparoscopic sacral colpopexies versus vaginal apical suspensions, and to determine risk factors associated with the development of corneal abrasions.

RESULTS: 5/216 (2.3%) patients developed corneal abrasions in the sacral colpopexy group compared to 1/332 (0.3%) in the vaginal group (p=0.04). Eye protection was more frequently documented in the sacral colpopexy group compared to the vaginal group (98.6% vs. 83.4%, p<0.001). Women in the sacral colpopexy group were younger, with longer operating times, more intravenous fluids, and lower estimated blood loss. Risk factors for corneal abrasion could not be identified due to the low number of patients with corneal abrasions.

STUDY DESIGN: This retrospective cohort study included all women undergoing robotic/laparoscopic sacral colpopexy or vaginal apical suspensions over a 5-year period. The incidence of corneal abrasions was compared between groups and statistical analysis was performed.

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