TY - JOUR
T1 - A case-control study of risk factors for ileus and bowel obstruction following benign gynecologic surgery
AU - Antosh, Danielle D.
AU - Grimes, Cara L.
AU - Smith, Aimee L.
AU - Friedman, Sarah
AU - McFadden, Brook L.
AU - Crisp, Catrina C.
AU - Allen, Arielle M.
AU - Gutman, Robert E.
AU - Rogers, Rebecca G.
N1 - Funding Information:
The study was supported and funded by the Fellows’ Pelvic Research Network (sponsored by the Society of Gynecologic Surgeons ). Biostatistical support for this project has been funded, in part, with federal funds (grant # UL1RR031975 ) from the National Center for Research Resources , National Institutes of Health , through the Clinical and Translational Science Awards Program (a trademark of the Department of Health and Human Services), which is part of the Roadmap Initiative “Re-Engineering the Clinical Research Enterprise.”
PY - 2013/8
Y1 - 2013/8
N2 - Objective To identify risk factors leading to the development of postoperative ileus and small-bowel obstruction (SBO) after benign gynecologic surgery. 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. 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). 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.
AB - Objective To identify risk factors leading to the development of postoperative ileus and small-bowel obstruction (SBO) after benign gynecologic surgery. 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. 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). 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.
KW - Bowel obstruction Gynecology Ileus Risk factor Surgery
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U2 - 10.1016/j.ijgo.2013.03.014
DO - 10.1016/j.ijgo.2013.03.014
M3 - Article
C2 - 23706188
AN - SCOPUS:84879780091
SN - 0020-7292
VL - 122
SP - 108
EP - 111
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
IS - 2
ER -