A case-control study of risk factors for ileus and bowel obstruction following benign gynecologic surgery.

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Citation: International Journal of Gynaecology & Obstetrics. 122(2):108-11, 2013 Aug.PMID: 23706188Institution: MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology/Female Pelvic Medicine and Reconstructive SurgeryForm of publication: Journal ArticleMedline article type(s): Journal Article | Multicenter Study | Research Support, N.I.H., Extramural | Research Support, Non-U.S. Gov'tSubject headings: *Gynecologic Surgical Procedures/mt [Methods] | *Ileus/et [Etiology] | *Intestinal Obstruction/et [Etiology] | *Postoperative Complications/ep [Epidemiology] | Adult | Case-Control Studies | Female | Humans | Ileus/ep [Epidemiology] | Intestinal Obstruction/ep [Epidemiology] | Intestine, Small/pa [Pathology] | Logistic Models | Middle Aged | Multivariate Analysis | Retrospective Studies | Risk Factors | Tissue Adhesions/pa [Pathology] | United States/ep [Epidemiology]Year: 2013ISSN:
  • 0020-7292
Name of journal: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and ObstetricsAbstract: CONCLUSION: Lysis of adhesions, concomitant bowel surgery, and perioperative complications such as blood transfusion and cystotomy were found to be risk factors for the development of ileus and/or SBO after benign gynecologic surgery. Copyright 2013 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.METHODS: In a multicenter case-control study across the United States, data were examined from women with International Classification of Diseases 9 (ICD-9) and Current Procedural Terminology (CPT) codes who underwent benign gynecologic surgery between January 2005 and June 2010 and subsequently developed an ileus or SBO. Each patient with ileus or SBO was matched to 2 control women who underwent the same benign gynecologic procedure but did not develop ileus or SBO.OBJECTIVE: To identify risk factors leading to the development of postoperative ileus and small-bowel obstruction (SBO) after benign gynecologic surgery.RESULTS: During the study period, 144 cases and 288 controls were identified. By conditional multivariate logistic regression, risk factors for ileus or SBO included cystotomy (odds ratio [OR], 8.7; 95% confidence interval [CI], 1.48-51.47), concomitant bowel surgery (OR, 4.3; 95% CI, 1.18-15.78), perioperative transfusion (OR, 2.9; 95% CI, 1.44-5.95), and lysis of adhesions (OR, 1.7; 95% CI, 1.03-2.83).All authors: Allen AM, Antosh DD, Crisp CC, Fellows' Pelvic Research Network, Friedman S, Grimes CL, Gutman RE, McFadden BL, Rogers RG, Smith ALFiscal year: FY2014Digital Object Identifier: Date added to catalog: 2014-04-03
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Journal Article MedStar Authors Catalog Article 23706188 Available 23706188

CONCLUSION: Lysis of adhesions, concomitant bowel surgery, and perioperative complications such as blood transfusion and cystotomy were found to be risk factors for the development of ileus and/or SBO after benign gynecologic surgery. Copyright 2013 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

METHODS: In a multicenter case-control study across the United States, data were examined from women with International Classification of Diseases 9 (ICD-9) and Current Procedural Terminology (CPT) codes who underwent benign gynecologic surgery between January 2005 and June 2010 and subsequently developed an ileus or SBO. Each patient with ileus or SBO was matched to 2 control women who underwent the same benign gynecologic procedure but did not develop ileus or SBO.

OBJECTIVE: To identify risk factors leading to the development of postoperative ileus and small-bowel obstruction (SBO) after benign gynecologic surgery.

RESULTS: During the study period, 144 cases and 288 controls were identified. By conditional multivariate logistic regression, risk factors for ileus or SBO included cystotomy (odds ratio [OR], 8.7; 95% confidence interval [CI], 1.48-51.47), concomitant bowel surgery (OR, 4.3; 95% CI, 1.18-15.78), perioperative transfusion (OR, 2.9; 95% CI, 1.44-5.95), and lysis of adhesions (OR, 1.7; 95% CI, 1.03-2.83).

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