Surgical Excision of Advanced Endometriosis: Perioperative Outcomes and Impacting Factors

Javier F. Magrina, Mercedes Espada, Rosanne M. Kho, Rachel Cetta, Yu Hui H Chang, Paul Magtibay

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Objective: To determine perioperative outcomes and factors impacting operating time, length of hospital stay, and complications of patients undergoing surgery for stage 3 or 4 endometriosis. Design: Retrospective review of medical records (Canadian Task Force classification II-2). Setting: Mayo Clinic Hospital, Phoenix, Arizona. Patients: Women (n = 493) with endometriosis stage 3 and 4 undergoing surgical excision between March 15, 2005, and December 31, 2011. Interventions: Robotic-assisted (n = 331) or laparoscopic (n = 162) excision. Measurements: Age, body mass index, comorbidities, number and type of procedures per patient, type of surgical approach, operating time, blood loss, intraoperative and postoperative complications (within 42 days), and length of hospital stay. Main Results: The mean patient age was 39.5 years; body mass index, 25.9; number of procedures, 3.3; operating time, 130.4 minutes; blood loss, 88.5 mL; and hospital stay, 1.0 days. Major complications occurred in 5 patients (1.5%). Fifty-nine patients (12.0%) underwent modified radical hysterectomy, 90 (18.3%) underwent ureteral and/or intestinal resection, and 3 (0.6%) underwent diaphragm resection. Factors significantly associated with operating time included age (p =.008) and blood loss, number of procedures per patient, and robotics (all p

Original languageEnglish (US)
Pages (from-to)944-950
Number of pages7
JournalJournal of Minimally Invasive Gynecology
Volume22
Issue number6
DOIs
StatePublished - 2015

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Endometriosis
Length of Stay
Robotics
Body Mass Index
Intraoperative Complications
Advisory Committees
Diaphragm
Hysterectomy
Medical Records
Comorbidity

Keywords

  • Endometriosis
  • Laparoscopy
  • Pelvic surgery
  • Robotics

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Surgical Excision of Advanced Endometriosis : Perioperative Outcomes and Impacting Factors. / Magrina, Javier F.; Espada, Mercedes; Kho, Rosanne M.; Cetta, Rachel; Chang, Yu Hui H; Magtibay, Paul.

In: Journal of Minimally Invasive Gynecology, Vol. 22, No. 6, 2015, p. 944-950.

Research output: Contribution to journalArticle

Magrina, Javier F. ; Espada, Mercedes ; Kho, Rosanne M. ; Cetta, Rachel ; Chang, Yu Hui H ; Magtibay, Paul. / Surgical Excision of Advanced Endometriosis : Perioperative Outcomes and Impacting Factors. In: Journal of Minimally Invasive Gynecology. 2015 ; Vol. 22, No. 6. pp. 944-950.
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