What's the impact of the obesity on the safety of laparoscopic hysterectomy techniques?

Abstract

OBJECTIVE:

To evaluate the impact of obesity in the safety of laparoscopic hysterectomy.

STUDY DESIGN:

A retrospective study was conducted using a database of 2271 women undergoing laparoscopic hysterectomy for benign diseases between January 1995 and December 2008 at the Centre Hospitalier Universitaire Estaing (Clermont-Ferrand, France). Patients were divided into two groups according to the body mass index: <30 kg/m(2) (n=2088) and ≥ 30 kg/m(2) (n=183). Primary outcomes were differences in conversion rates, operating time, estimated blood loss, intraoperative complications, and early postoperative complications.

RESULTS:

There was no difference in the operative time (121.3 versus 122.5 minutes; P=.71), in the difference between pre- and postoperative hemoglobin levels (1.8 versus 1.6 g/dL; P=.28), and in the conversion rate (4.6% versus 5.5%; P=.62) comparing the two groups. The overall intraoperative complication rate was 14.03% (n=293) and 13.66% (n=25) for nonobese and obese patients (P=.89), respectively. The overall postoperative complication rate was 8.81% (n=184) and 7.65% (n=14), respectively.

CONCLUSIONS:

Obesity does not have an adverse effect on the feasibility and safety of laparoscopic hysterectomy in experienced hands.

• Authors: William Kondo, Nicolas Bourdel, Francesca Marengo, Revaz Botchorishvili, Jean Luc Pouly, Kris Jardon, Benoit Rabischong, Gérard Mage, Michel Canis
• Journal: Journal of laparoendoscopic & advanced surgical techniques. Part A (J Laparoendosc Adv Surg Tech A) Vol. 22 Issue 10 Pg. 949-53 (Dec 2012) ISSN: 1557-9034 [Electronic] United States
• PMID: 23067071 (Publication Type: Journal Article)

Topics

• Female
• Humans
• Hysterectomy (adverse effects, methods)
• Intraoperative Complications (epidemiology, etiology)
• Laparoscopy
• Middle Aged
• Obesity (complications)
• Postoperative Complications (epidemiology, etiology)
• Retrospective Studies
• Risk Factors
• Uterine Diseases (complications, surgery)