No abstract

Although it should not be recommended routinely, postpartum myomectomy is feasible and can be life-saving, even after a vaginal delivery.

Study Objectives To evaluate the impact of obesity on complications of hysterectomy Study Design Retrospective cohort study Design Classification Canadian Task Force II-2 Setting Department of Obstetrics and Gynecology, Women and Infants Hospital of Rhode Island (WIH) Patients Patients who had a hysterectomy at WIH between July 2006 and January 2009 Intervention Hysterectomy by any mode Measurements and Main Results We collected data from medical records of all laparoscopic hysterectomies during the time period and collected data from a random subset of abdominal and vaginal hysterectomies. The independent variable, body mass index, was grouped according to World Health Organization guidelines. A composite of surgical complications was generated. Multivariable logistic regression was used to estimate adjusted odds ratios and 95% confidence intervals. We collected data from 907 hysterectomies and 29.9% (n=267) of the population was obese. Eighteen percent of patients (n=154) had at least one complication. Compared to non-obese women, obese women were at increased odds of having any complication (OR 1.62, 95% CI 1.12-2-34). Performing subgroup analyses by mode of hysterectomy and controlling for confounding factors, we were unable to detect differences odds of complications between obese and non-obese women who underwent either an abdominal, vaginal, or laparoscopic hysterectomy. Conclusion In our study, we found that among women who had a hysterectomy, obese women had a higher rate of complications than non-obese women.