Martina Gabra, MD

Martina Gabra, MD
mgabra@obgyn.arizona.edu

University of Arizona
COM
OB/GYN

My research project is a descriptive study, I am analyzing patients who have undergone pelvic organ prolapse with laparoscopic uterosacral ligament suspension (USLS) from 9/1/2016 to 8/7/2019. 

I am looking at: 

- Rate of ureteral injury or compromise 

- Post-operative complications

- Rate of pelvic organ prolapse (POP) recurrence post-operatively and length of time to recurrence of symptoms

Attached is my excel with the de-identified data I collected. The bottom of the excel has the analysis I have already performed; the data in "other column" or written in words instead of numbers has been incorporated into that analysis. The top two rows describe what each column is collecting. Let me know if you need clarification. 

 

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Initial Meeting:

I.  Who

Client:  Martina Gabra, MD

Consultants:  Dean, Jason, Gabe, Liyun

II.  When:  7 October 2019, 3:00pm

III.  Summary of client's problem

The client is interested in comparing complications arising from two different surgical methods used to address pelvic organ prolapse in women.  The two methods are laparoscopic uterosacral ligament suspension (USLS) and sacrospinous ligament suspension (SSLS).  Laparoscopic USLS is a newer method and consequently has much less data available.

Factors of interest include age, Body Mass Index (BMI), ethnicity, comorbidity, surgical history, and whether or not the patient is a smoker.  Complications include those occurring during surgery, such as estimated blood loss (EBL) and various injuries to adjacent organs, as well as residual complications, especially urinary retention and recurrence of prolapse.

IV.  Discussion

Much of the discussion involved narrowing down the problem and negotiating what analysis could be done in two weeks to provide the client with something of value.  Her prioritized interests are in 30-day complications over the surgery complications.  If we are unable to analyze long-term recurrence, then the during-surgery EBL and time to perform surgery will be of interest.

V.  Next Steps

The client will pare down the data per our discussion, and also add information about time to recursion.  For starters we will compare the factors between the two surgical method groups to note any significant differences, and then analyze the effects between the two groups.

 

Gabra USLS Data

Gabra USLS & SSLS Data

Gabra Tables

Gabra Data for Stats