Association Between Obesity and the Trends of Routes of Hysterectomy Performed for Benign Indications

Mikhail, Emad; Miladinović, Branko; Velanovich, Vic; Finan, Michael A.; Hart, Stuart; Imudia, Anthony N.

doi:10.1097/aog.0000000000000733

Cited by 28 publications

(31 citation statements)

References 20 publications

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“…Consistent with findings from other large studies of sacrocolpopexies and benign hysterectomies, obese women in our study had longer operative times compared with nonobese women. 6,17 On average, operative time was approximately 16 minutes longer for obese women in our study, which was similar to the 20-minute mean increase in operative time seen in obese women undergoing open sacrocolpopexy. 6 Estimated blood loss was also higher in obese women undergoing minimally invasive sacrocolpopexy compared with overweight women with a mean EBL of 18 mL higher in the obese group.…”

Section: Discussionsupporting

confidence: 81%

The Impact of Obesity on Intraoperative Complications and Prolapse Recurrence After Minimally Invasive Sacrocolpopexy

Turner

Lavelle

Lowder

et al. 2016

Female Pelvic Med Reconstr Surg

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In women undergoing minimally invasive sacrocolpopexy, obesity is associated with increased blood loss, longer operative times, and more intraoperative complications, specifically conversions to laparotomy. Even after correcting for blood loss, surgeon experience, and concomitant hysterectomy, obese women were 3 times as likely to have an intraoperative complication. Our data did not show that obesity was associated with increased risk of prolapse recurrence; however, postoperative follow-up was limited.

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Section: Discussionsupporting

confidence: 81%

The Impact of Obesity on Intraoperative Complications and Prolapse Recurrence After Minimally Invasive Sacrocolpopexy

Turner

Lavelle

Lowder

et al. 2016

Female Pelvic Med Reconstr Surg

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“…In a recent study, increasing BMI was found associated with increased operative time and surgical site infections in patients undergoing abdominal hysterectomy. The results of that study are consistent with ours, but our study has different characteristics of indications for hysterectomy and salpingo-oophorectomy status ( 26 ) . We wondered whether fewer wound infections would occur if we used a subcutaneous drain.…”

Section: Discussionsupporting

confidence: 91%

Effects of the morbid obesity and skin incision choices on surgical outcomes in patients undergoing total abdominal hysterectomy

Ersoy

Evliyaoğlu

Erol

et al. 2016

tjod

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Objective:This study aimed to evaluate the effect of obesity on surgical outcomes in patients who underwent gynecologic surgery.Materials and Methods:In total, we evaluated 132 patients who underwent total abdominal hysterectomy with or without salpingo-oophorectomy for benign gynecologic procedures at our tertiary referral gynaecology clinic.Results:The non-morbid obese group [body mass index (BMI) <40 kg/m2] included 94 patients, and the morbid obese group (BMI ≥40 kg/m2) included 38 patients. The perioperative outcomes of the groups were compared. The mean operative time was significantly longer for morbid obese patients than non-morbid obese patients (p<0.05). Estimated blood loss, the need for blood transfusion, postoperative hemoglobin values, and the need for an intraabdominal drain were similar between the groups. Early and late postoperative complications were significantly more frequent in the morbid obese group than the other group (p<0.05, for each). Early postoperative complications in patients who underwent vertical skin incision were significantly more frequent than in patients who underwent pfannenstiel incision (p<0.05). Late complications were comparable between the two types of skin incision.Conclusion:Morbid obesity significantly increases the mean operative times and the postoperative complication rates of abdominal hysterectomy operations.

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“…Increased operative time, blood loss, wound infection, intra- and postoperative complications, and length of hospital stay [25–28]…”

Section: Tablementioning

confidence: 99%

Obesity Education Strategies for Cancer Prevention in Women’s Health

Liu

Segura

Hagemann

2015

Curr Obstet Gynecol Rep

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Obesity is the cause of up to one-third of all cancers affecting women today, most notably endometrial, colon and breast cancer. Women’s health providers are poised to advise women on obesity’s link to cancer development, but often lack resources or training to provide appropriate counseling. Here, we review obesity’s role in increasing the risk of several common reproductive system conditions faced by women, including polycystic ovarian syndrome, infertility, gynecologic surgical complications, and pregnancy complications. These events can be used as teachable moments to help frame the discussion of weight management and promote cancer prevention. We also review national guidelines and existing tangible weight-loss strategies that can be employed within the outpatient women’s health setting to help women achieve weight loss goals and affect cancer prevention.

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Association Between Obesity and the Trends of Routes of Hysterectomy Performed for Benign Indications

Cited by 28 publications

References 20 publications

The Impact of Obesity on Intraoperative Complications and Prolapse Recurrence After Minimally Invasive Sacrocolpopexy

The Impact of Obesity on Intraoperative Complications and Prolapse Recurrence After Minimally Invasive Sacrocolpopexy

Effects of the morbid obesity and skin incision choices on surgical outcomes in patients undergoing total abdominal hysterectomy

Obesity Education Strategies for Cancer Prevention in Women’s Health

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