Objective. To study the influence of body mass index (BMI), smoking, and age on the risk of vaginal erosions after mesh repair of pelvic prolapses. Design. Retrospective study. Setting. Three university and community hospitals. Population and sample. Patients that underwent mesh correction of prolapses between 2002 and 2007. Excluded were those with stress urinary incontinence, ongoing clinical infections, with a complete antibiotic course in the last six months and with systemic diseases affecting tissue oxygenation. Methods. Revision of medical notes. Main outcome measures. Risk contributions for age, smoking, and BMI on the occurrence of vaginal erosions. Results. Data were collected from 460 patients. Postoperative erosions were present in 7%. BMI greater than 30 conferred a 10.1-fold increase in the risk of developing erosions, smoking a 3.7-fold increase, and age greater than 60 years a 2.2-fold increase. A cut-off value of seven pack years was determined for smoking where the risk associated with light smokers was similar to that of non-smokers. Conclusions. BMI, smoking, and age are important risk factors for pelvic organ prolapse surgery. Our data could be used to stratify patients according to their risk so that preventative measures can be taken in high-risk patients.

Araco, F., Gravante, G., Sorge, R., Overton, J., De Vita, D., Primicerio, M., et al. (2009). The influence of BMI, smoking, and age on vaginal erosions after synthetic mesh repair of pelvic organ prolapses: a multicenter study. ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 88(7), 772-780 [10.1080/00016340903002840].

The influence of BMI, smoking, and age on vaginal erosions after synthetic mesh repair of pelvic organ prolapses: a multicenter study

ARACO, PLACIDO;PICCIONE, EMILIO
2009

Abstract

Objective. To study the influence of body mass index (BMI), smoking, and age on the risk of vaginal erosions after mesh repair of pelvic prolapses. Design. Retrospective study. Setting. Three university and community hospitals. Population and sample. Patients that underwent mesh correction of prolapses between 2002 and 2007. Excluded were those with stress urinary incontinence, ongoing clinical infections, with a complete antibiotic course in the last six months and with systemic diseases affecting tissue oxygenation. Methods. Revision of medical notes. Main outcome measures. Risk contributions for age, smoking, and BMI on the occurrence of vaginal erosions. Results. Data were collected from 460 patients. Postoperative erosions were present in 7%. BMI greater than 30 conferred a 10.1-fold increase in the risk of developing erosions, smoking a 3.7-fold increase, and age greater than 60 years a 2.2-fold increase. A cut-off value of seven pack years was determined for smoking where the risk associated with light smokers was similar to that of non-smokers. Conclusions. BMI, smoking, and age are important risk factors for pelvic organ prolapse surgery. Our data could be used to stratify patients according to their risk so that preventative measures can be taken in high-risk patients.
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore MED/40 - Ginecologia e Ostetricia
eng
Con Impact Factor ISI
age; body mass index; pelvic organ prolapse; pelvic reconstructive surgery; polypropylene mesh; risk factors; smoking; synthetic mesh; vaginal erosions; vaginal mesh
Araco, F., Gravante, G., Sorge, R., Overton, J., De Vita, D., Primicerio, M., et al. (2009). The influence of BMI, smoking, and age on vaginal erosions after synthetic mesh repair of pelvic organ prolapses: a multicenter study. ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 88(7), 772-780 [10.1080/00016340903002840].
Araco, F; Gravante, G; Sorge, R; Overton, J; De Vita, D; Primicerio, M; Dati, S; Araco, P; Piccione, E
Articolo su rivista
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2108/38877
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