School of Medicine and Health Sciences Poster Presentations

Title

Perioperative Complications and Impact of Diabetes Mellitus Severity on Laparoscopic Hysterectomy

Poster Number

342

Document Type

Poster

Status

Medical Student

Abstract Category

Women/Child Health

Keywords

laparoscopic, hysterectomy, diabetes, mellitus, insulin

Publication Date

Spring 2018

Abstract

Background: Hysterectomy is the second most common surgery performed on women and is commonly utilized in the treatment of several common gynecological complaints. With the advance of surgical techniques, the laparoscopic approach has become the standard of care in most cases. Diabetes mellitus (DM) has been shown to increase a patient’s risk of postoperative complications for several procedures. However, the current research in the field gynecological surgery is minimal. This project seeks to identify an association between severity of DM and risk of postoperative complications following laparoscopic hysterectomy.

Methods: The American College of Surgeons National Surgical Quality Improvement Program database was utilized to identify patients who underwent laparoscopic hysterectomies from 2007 through 2013 Patient cohorts were non-insulin-dependent DM (NIDDM), insulin-dependent DM (IDDM), and no DM. The incidence of postoperative complications within 30 days of the procedure was evaluated utilizing univariate and multivariate analysis.

Results: After inclusion criteria, 42,674 patients who underwent laparoscopic hysterectomy were included in the study. The no DM cohort was comprised of 39,245 patients (92.0%), the NIDDM cohort included 2,493 patients (5.8%), and the IDDM cohort included 936 patients (2.2%). Overall, DM increased a patient’s risk of developing postoperative complications. NIDDM patients had an increased risk of 8 of 21 evaluated postoperative complications compared to patients without DM. IDDM patients had an increased risk of 12 of 21 postoperative complications studied compared to patients without DM.

Conclusion: Although rates of complications following laparoscopic hysterectomy are relatively low in non-DM patients, patients with DM have an increased risk of experiencing a complication compared to a non-diabetic patients. Furthermore, patients with IDDM have a greater risk of experiencing postoperative complications. With this information, gynecological surgeons can better evaluate diabetic patients’ risk of developing postoperative complications following laparoscopic hysterectomy and counsel them appropriately.

Keywords: laparoscopic, hysterectomy, diabetes, mellitus, insulin

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

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Perioperative Complications and Impact of Diabetes Mellitus Severity on Laparoscopic Hysterectomy

Background: Hysterectomy is the second most common surgery performed on women and is commonly utilized in the treatment of several common gynecological complaints. With the advance of surgical techniques, the laparoscopic approach has become the standard of care in most cases. Diabetes mellitus (DM) has been shown to increase a patient’s risk of postoperative complications for several procedures. However, the current research in the field gynecological surgery is minimal. This project seeks to identify an association between severity of DM and risk of postoperative complications following laparoscopic hysterectomy.

Methods: The American College of Surgeons National Surgical Quality Improvement Program database was utilized to identify patients who underwent laparoscopic hysterectomies from 2007 through 2013 Patient cohorts were non-insulin-dependent DM (NIDDM), insulin-dependent DM (IDDM), and no DM. The incidence of postoperative complications within 30 days of the procedure was evaluated utilizing univariate and multivariate analysis.

Results: After inclusion criteria, 42,674 patients who underwent laparoscopic hysterectomy were included in the study. The no DM cohort was comprised of 39,245 patients (92.0%), the NIDDM cohort included 2,493 patients (5.8%), and the IDDM cohort included 936 patients (2.2%). Overall, DM increased a patient’s risk of developing postoperative complications. NIDDM patients had an increased risk of 8 of 21 evaluated postoperative complications compared to patients without DM. IDDM patients had an increased risk of 12 of 21 postoperative complications studied compared to patients without DM.

Conclusion: Although rates of complications following laparoscopic hysterectomy are relatively low in non-DM patients, patients with DM have an increased risk of experiencing a complication compared to a non-diabetic patients. Furthermore, patients with IDDM have a greater risk of experiencing postoperative complications. With this information, gynecological surgeons can better evaluate diabetic patients’ risk of developing postoperative complications following laparoscopic hysterectomy and counsel them appropriately.

Keywords: laparoscopic, hysterectomy, diabetes, mellitus, insulin