The impact of the body mass index (BMI) on laparoscopic hysterectomy for benign disease (original) (raw)

Abstract

Purpose

To investigate the influence of the body mass index (BMI) on laparoscopic hysterectomy, including all intra- and postoperative findings and complications.

Methods

We reviewed and analyzed the medical records of 200 patients who underwent laparoscopic hysterectomy for benign disease at the Saarland University Hospital. The patient collective was subdivided into four weight groups on the basis of the current WHO BMI classification. Data analysis was carried out by a professional statistician.

Results

Over half of the women screened were overweight or obese. The operating times increased together with the BMI (p = 0.017). Blood losses differed significantly between the weight groups (p = 0.027), but ranged to a maximum of only 300 ml. One laparoconversion had to be performed. No other intraoperative complications occurred. During our follow-up time of 13.2 ± 5.4 months, the overall rate of postoperative complications differed significantly between the weight groups (p = 0.008). The group of overweight women had the highest rate of complications and the group of obese women had the lowest. However, the rate of women who required readmission and reoperation was not elevated in the overweight group.

Conclusion

Laparoscopic hysterectomy is a safe and feasible method even in obese and morbidly obese patients. Overweight and obesity increase the time needed to perform laparoscopic hysterectomy but do not seem to relevantly influence the rate of major intra- or postoperative complications.

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Conflict of interest

The authors indicate no potential conflicts of interest. This study was not funded.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Saarland University Hospital, Kirrberger Str. 100, 66421, Homburg, Germany
    David Bardens, Erich Solomayer, Sascha Baum, Julia Radosa, Achim Rody & Ingolf Juhasz-Böss
  2. Institute of Medical Biometrics, Epidemiology, and Medical Informatics (IMBEI), University of the Saarland, 66421, Homburg, Germany
    Stefan Gräber
  3. Department of Obstetrics and Gynecology, Schleswig-Holstein University Hospital, 23538, Lübeck, Germany
    Achim Rody

Authors

  1. David Bardens
  2. Erich Solomayer
  3. Sascha Baum
  4. Julia Radosa
  5. Stefan Gräber
  6. Achim Rody
  7. Ingolf Juhasz-Böss

Corresponding author

Correspondence toIngolf Juhasz-Böss.

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Bardens, D., Solomayer, E., Baum, S. et al. The impact of the body mass index (BMI) on laparoscopic hysterectomy for benign disease.Arch Gynecol Obstet 289, 803–807 (2014). https://doi.org/10.1007/s00404-013-3050-2

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