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1091 Oncological surgery is associated with increased morbidity but not mortality in elderly patients undergoing gynecological procedures
  1. Murat Cengiz1,
  2. Hasan Volkan Ege1,
  3. Anil Karakilinç2,
  4. Ilgi Adali2,
  5. Eylül Akdeniz2,
  6. Nejat Özgül1,
  7. Selçuk Tuncer1,
  8. Murat Gültekin1,
  9. Utku Akgör1 and
  10. Derman Basaran1
  1. 1Hacettepe University Department of Obstetrics and Gynaecology, Division of Gynaecologic Oncology, Ankara, Türkiye
  2. 2Hacettepe University Department of Obstetrics and Gynaecology, Ankara, Türkiye, Ankara, Türkiye


Introduction/Background To assess the short-term morbidity and mortality following gynecological surgery in patients older than 70 years of age.

Methodology This retrospective study focused on patients aged 70 and above who underwent inpatient surgery for either benign or malignant indications at the Department of Obstetrics and Gynecology, Hacettepe University, between 2015 and 2023. Demographics, clinical characteristics, postoperative morbidity and mortality rates within the one-month period following surgery were assessed. The Clavien-Dindo classification was employed to systematically classify surgical complications.

Results The median age of the 346 patients included in the study was 73 (min: 70, max: 93). 183 patients had surgery for benign disease, and 155 patients for malignancy. 90.2% of the patients had at least one accompanying medical condition, the most common being hypertension (76%). Pelvic organ prolapse (POP) (%74.1) was the most common indication for benign gynecological surgery, while endometrial cancer (%51) was the most common malignant disease.

No intraoperative death was observed in study groups. The average duration of surgery in malignant cases was 169 minutes (SD±69.7), while it was 88 minutes (SD±37.4) in benign group. Post-operative admission rate to intensive care unit (ICU) was 7.7% in vs 31.6% in malignant group (p < 0.001). ≥ Grade 2 morbidity was observed in 8 patients (4.3%) in benign group and in 34 patients (21.9%) operated on for malignant reasons (p < 0.001). One patient in benign group and two patients in malignant group died at first month after surgery (p=0.595).

Conclusion We observed a significantly higher demand for postoperative ICU admission and increased morbidity during the first postoperative month in patients undergoing oncological surgery compared to those having surgery for benign indications. However, we found no significant difference in mortality rates during the one-month period.

Disclosures All authors have declared that they have no conflicts of interest.

Abstract 1091 Table 1

Indications for surgery and complications according to the Clavien-Dindo classification

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