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Racial and ethnic differences in reconstructive surgery for apical vaginal prolapse

American Journal of Obstetrics and Gynecology May 14, 2021

Boyd BAJ, Winkelman WD, Mishra K, et al. - Utilizing data from the American College of Surgeons National Surgical Quality Improvement Program, researchers conducted this retrospective cohort study to assess differences in surgical approach for apical vaginal prolapse and postoperative complications by race and ethnicity. Between 2014 and 2017, women undergoing surgical repair for apical vaginal prolapse were analyzed. In total, 22,861 eligible surgical cases were identified, of which 12,337 (54%) were a vaginal colpopexy and 10,524 (46%) were an abdominal sacrocolpopexy. Findings revealed that there are racial and ethnic variations in the type and route of surgical repair for apical vaginal prolapse. Latina and Pacific Islander women, in particular, were less likely than White women to have abdominal sacrocolpopexy performed laparoscopically. Although complications were rare, there were some, such as blood transfusions, which were more common among African American and Latina women.

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