Table 4 Demographic, pre-operative, intra-operative and post-operative characteristics of the study population—vaginal hysterectomy with pelvic prolapse repair only
Parameter | Non-infected pelvic hematoma | Infected pelvic hematoma | p value |
|---|---|---|---|
No. of patients | 32 | 9 | |
Age | 61.9 ± 8.9 | 63.4 ± 11.2 | 0.675 |
BMI | 27.1 ± 4.1 | 27.8 ± 5.8 | 0.684 |
Menopausal | 28 (87.5%) | 8 (88.9%) | 0.910 |
Parity | 5.0 ± 2.8 | 3.0 ± 1.3 | 0.027a |
Smoker | 3 (9.4%) | 0 | 1.00 |
Comorbidity | 16 (50.0%) | 3 (33.3%) | 0.376 |
Prior pelvic/abdominal surgery | 10 (31.3%) | 2 (22.2%) | 0.702 |
Cystocele | 32 (100.0%) | 9 (100.0%) | 1.00 |
Rectocele | 28 (87.5%) | 9 (100.0%) | 0.559 |
Urinary incontinence | 0.198 | ||
No incontinence | 15 (46.9%) | 5 (55.6%)) | |
Stress | 15 (46.9%) | 2 (22.2%) | |
Mixed | 2 (6.3%) | 2 (22.2%) | |
Pre-operative POP-Q stageb | 0.999 | ||
1 | 0 | 0 | |
2 | 1 (3.1%) | 0 | |
3 | 26 (83.9%) | 8 (88.9%) | |
4 | 4 (12.5%) | 1 (11.1%) | |
Ba | 4.0 ± 2.9 | 4.9 ± 2.4 | 0.421 |
C | 2.3 ± 4.2 | 3.8 ± 3.4 | 0.370 |
Bp | 0.9 ± 3.6 | -0.5 ± 3.0 | 0.347 |
Type of anesthesia | 0.061 | ||
General | 30 (93.8%) | 6 (66.7%) | |
Combined spinal epidural | 2 (6.3%) | 2 (22.2%) | |
Epidural | 0 | 1 (11.1%) | |
Concomitant procedures | |||
TVT/TVTO | 21 (65.6%) | 6 (66.7%) | 1.00 |
Anterior repair | 32 (100.0%) | 8 (88.9%) | 0.220 |
Posterior repair | 29 (90.6%) | 8 (88.9%) | 1.00 |
Perineorrhaphy | 8 (25.0%) | 2 (22.2%) | 1.00 |
Salpingectomy | 15 (46.9%) | 1 (11.1%) | 0.066 |
Oophorectomy | 7 (21.9%) | 0 | 0.315 |
Duration of surgery (min) | 125.6 ± 29.3 | 122.7 ± 28.3 | 0.789 |
Intraoperative excessive bleeding | 1 (3.1%) | 0 | 1.00 |
Post-operative data | 3 (9.4%) | 2 (22.2%) | 0.299 |
Hematoma locationb | 1.00 | ||
Above vaginal cuff | 25(83.3%) | 8 (88.9%) | |
Anterior to bladder | 2 (6.7%) | 1 (11.1%) | |
Posterior to bladder | 3(10.0%) | 0 (0%) | |
Hospital stay (days) | 3.2 ± 2.2 | 3.7 ± 2.1 | 0.565 |
Post-operative hemoglobin (g/dL) | 11.1 ± 1.4 | 10.9 ± 1.1 | 0.648 |
Delta hemoglobin (g/dL) | 2.0 ± 1.0 | 2.3 ± 1.4 | 0.486 |
Post-operation platelets (109/L) | 206.6 ± 60.2 | 223.9 ± 62.6 | 0.454 |
Mean hematoma size (mm2) | 1179.0 ± 778.3 | 2148.1 ± 2173.9 | 0.252 |
Hematoma largest diameter (mm) | 37.2 ± 12.3 | 51.9 ± 22.4 | 0.086a |