Factors affecting hospital length of stay following pelvic exenteration surgery

Factors affecting hospital length of stay following pelvic exenteration surgery INTRODUCTIONPelvic exenteration surgery, used to treat advanced gastrointestinal, gynecologic, and urologic malignancy, is an extensive surgery that involves en bloc removal of the pelvic viscera. A total pelvic exenteration in a male includes removal of the rectum, bladder, and prostate/seminal vesicles if present. In a female patient, a total pelvic exenteration includes removal of the bladder, vagina (part or complete), uterus if present, and rectum. Although pelvic exenteration has significant advantages for longer disease‐free and overall survival, its associated perioperative complications, including hemorrhage and infections, can negatively impact a patient's postoperative course.Wound infection is one of the most common postoperative complications. In patients who underwent pelvic exenteration, estimated infection rates were up to 30‐43%, and the rate of pelvic abscess was reported to be 6‐20%. These complications can affect quality of life, impact recovery, prolong hospital length of stay (LOS), and increase the readmission rate. Prolonged hospitalization and readmissions also can increase overall healthcare costs. However, few studies have assessed the risk factors for prolonged LOS in patients who undergo pelvic exenteration. We know of only such one study, which showed that longer hospital LOS after pelvic exenteration was associated with lower body mass index (BMI).The primary aim of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Surgical Oncology Wiley

Factors affecting hospital length of stay following pelvic exenteration surgery

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 Wiley Periodicals, Inc.
ISSN
0022-4790
eISSN
1096-9098
D.O.I.
10.1002/jso.24878
Publisher site
See Article on Publisher Site

Abstract

INTRODUCTIONPelvic exenteration surgery, used to treat advanced gastrointestinal, gynecologic, and urologic malignancy, is an extensive surgery that involves en bloc removal of the pelvic viscera. A total pelvic exenteration in a male includes removal of the rectum, bladder, and prostate/seminal vesicles if present. In a female patient, a total pelvic exenteration includes removal of the bladder, vagina (part or complete), uterus if present, and rectum. Although pelvic exenteration has significant advantages for longer disease‐free and overall survival, its associated perioperative complications, including hemorrhage and infections, can negatively impact a patient's postoperative course.Wound infection is one of the most common postoperative complications. In patients who underwent pelvic exenteration, estimated infection rates were up to 30‐43%, and the rate of pelvic abscess was reported to be 6‐20%. These complications can affect quality of life, impact recovery, prolong hospital length of stay (LOS), and increase the readmission rate. Prolonged hospitalization and readmissions also can increase overall healthcare costs. However, few studies have assessed the risk factors for prolonged LOS in patients who undergo pelvic exenteration. We know of only such one study, which showed that longer hospital LOS after pelvic exenteration was associated with lower body mass index (BMI).The primary aim of

Journal

Journal of Surgical OncologyWiley

Published: Jan 1, 2018

Keywords: ; ;

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