Evaluation gériatrique en vue d`une promontofixation

F. PUISIEUX
Evaluation gériatrique
en vue d’une promontofixation

Recherche bibliographique
Geriatric assessment
AND
Sacral colpopexy
Colpopexy
Surgery of prolapse
…..
= 0 référence !!!!!
0
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40
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60
70
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100
0h 1h 2h 3h 4h
Stress

•Richter HE et al. The effect of age on short-term outcomes after
abdominal surgery for pelvic organ prolapse. J Am Geriatr Soc.
2007;55:857-63.
“Conclusion: Outcomes of prolapse surgery were comparable
between older and younger women except that older women had
slightly longer hospital stays”
•Ben-Ami I et al. Perioperative morbidity and mortality of
gynecological oncologic surgery in elderly women. Int J Gynecol
Cancer. 2006;16:452-7.
“Conclusion: Chronological age by itself should not be a
contraindication for the treatment of elderly women with
gynecological malignancy since it is a poor predicting factor for
perioperative morbidity.”
Elderly AND colpoplexy,….

Elderly AND colpoplexy,….
•Toglia MR et al. Morbidity and mortality rates of elective gynecologic
surgery in the elderly woman. Am J Obstet Gynecol. 2003;189:1584-
7:
“Conclusion: Postoperative complications occurred infrequently
among elderly women who underwent gynecologic surgery.
Although age alone is not a contraindication to elective surgery,
there may be increased risks for geriatric women.”
•Parker DY, et al. Gynecological surgery in octogenarians and
nonagenarians. Am J Obstet Gynecol. 2004;190:1401-3.
“Conclusion: Successful gynecologic surgical outcomes with
minimal morbidity are achievable in octogenarian patients and
nonagenarian patients with optimization of co-medical conditions
and careful perioperative treatment. Age should not be the sole
determinant in the decision-making process”

Balance Avantages / Risques