Reconstructive pelvic surgery and plastic surgery: safety and efficacy of combined surgery.
OBJECTIVE
The purpose of this study was to address the safety of combining aesthetic and pelvic floor reconstructive procedures.


METHODS
Fifty-four subjects were included in a case-control study; 18 patients undergoing combined pelvic and plastic reconstructive surgery, age and procedure matched to 18 pelvic surgery and 18 plastic surgery only controls. Chi-square, t test, and Kruskal-Wallis analysis were used to compare the estimated blood loss (EBL), body mass index (BMI), hospital days, operative times, and complications between the groups.


RESULTS
No differences were seen with regards to age, BMI, or EBL. There was, however, a significant increase in minor complications and hospital stay after combined procedures relative to the pelvic surgery control group but not the aesthetic control group. Operative times were only greater during combined procedures relative to isolated pelvic floor procedures.


CONCLUSIONS
Combining pelvic and aesthetic procedures may increase complications, operative times, and length of hospital stay when compared to pelvic reconstructive surgery alone.
Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of California, Irvine, School of Medicine, Orange, CA, USA.
Jocelyn B
JB
Craig
Karen L
KL
Noblett
Caroline A
CA
Conner
Michael
M
Budd
Felicia L
FL
Lane
D000328:Adult; D016022:Case-Control Studies; D016009:Chi-Square Distribution; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015187:Lipectomy / Q000379:methods; D016462:Mammaplasty / Q000379:methods; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000453:epidemiology; D011336:Probability; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D018570:Risk Assessment; D053825:Suburethral Slings; D013518:Surgery, Plastic / Q000379:methods*; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000175:diagnosis / Q000601:surgery*; D014596:Uterine Prolapse / Q000175:diagnosis / Q000601:surgery*