OBJECTIVE: The intra- and postoperative anatomic complications, frequency, and influence of risk factors of the tension-free vaginal tape are described. STUDY DESIGN: This was a prospective cohort study of 809 patients. RESULTS: The total intraoperative complication rate was 6.2%. Previous prolapse surgery was a risk factor for complications (odds ratio, 2.86; 95% CI, 1.15-7.11). We found more intraoperative complications in patients with general anesthesia than with local analgesia with sedation (odds ratio, 4.14; 95% CI, 2.01-8.53). In teaching hospitals the postoperative complication frequency was higher than in non-teaching hospitals (odds ratio, 0.55; 95% CI, 0.35-0.85). The learning curve is short, and more postoperative complications were found in the second 10 patients who underwent operation by 1 surgeon (odds ratio, 1.94; 95% CI, 1.14- 3.29). Spinal analgesia gives fewer postoperative complications than local analgesia with sedation (odds ratio, 0.35; 95% CI, 0.13- 0.92). CONCLUSION: Tension-free vaginal tape is a relative safe procedure; concomitant pelvic surgery can be performed safely. Several risk factors for complications were identified: menopausal state, previous prolapse surgery, mode of anesthesia, teaching hospital, and the second ten procedures of each surgeon.
OBJECTIVE: The intra- and postoperative anatomic complications, frequency, and influence of risk factors of the tension-free vaginal tape are described. STUDY DESIGN: This was a prospective cohort study of 809 patients. RESULTS: The total intraoperative complication rate was 6.2%. Previous prolapse surgery was a risk factor for complications (odds ratio, 2.86; 95% CI, 1.15-7.11). We found more intraoperative complications in patients with general anesthesia than with local analgesia with sedation (odds ratio, 4.14; 95% CI, 2.01-8.53). In teaching hospitals the postoperative complication frequency was higher than in non-teaching hospitals (odds ratio, 0.55; 95% CI, 0.35-0.85). The learning curve is short, and more postoperative complications were found in the second 10 patients who underwent operation by 1 surgeon (odds ratio, 1.94; 95% CI, 1.14- 3.29). Spinal analgesia gives fewer postoperative complications than local analgesia with sedation (odds ratio, 0.35; 95% CI, 0.13- 0.92). CONCLUSION: Tension-free vaginal tape is a relative safe procedure; concomitant pelvic surgery can be performed safely. Several risk factors for complications were identified: menopausal state, previous prolapse surgery, mode of anesthesia, teaching hospital, and the second ten procedures of each surgeon.
Authors: Karl Tamussino; Christian Falconer; Steven E Schraffordt Koops; Carl Gustav Nilsson Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2008-02-12
Authors: Thomas Aigmüller; Ayman Tammaa; Karl Tamussino; Engelbert Hanzal; Wolfgang Umek; Dieter Kölle; Stephan Kropshofer; Vesna Bjelic-Radisic; Josef Haas; Albrecht Giuliani; Peter F J Lang; Oliver Preyer; Ursula Peschers; Katharina Jundt; George Ralph; Andrea Dungl; Paul A Riss Journal: Int Urogynecol J Date: 2014-05-13 Impact factor: 2.894
Authors: Sanne A L van Leijsen; Kirsten B Kluivers; Ben Willem J Mol; Suzan R Broekhuis; Fred L Milani; C Huub van der Vaart; Jan-Paul W R Roovers; Marlies Y Bongers; Jan den Boon; Wilbert A Spaans; Jan Willem de Leeuw; Viviane Dietz; Jan H Kleinjan; Hans A M Brölmann; Eveline J Roos; Judith Schaafstra; John P F A Heesakkers; Mark E Vierhout Journal: BMC Womens Health Date: 2009-07-21 Impact factor: 2.809