Outcomes and feasibility of laparoscopic sacrocolpopexy among obese versus non‐obese women

Thubert, Thibault; Naveau, Alix; Letohic, A.; Villefranque, Vincent; Bénifla, J.-L.; Deffieux, X.

doi:10.1016/j.ijgo.2012.07.020

Cited by 26 publications

(21 citation statements)

References 27 publications

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“…A low rate of complications among obese patients and good anatomic results after a short-term follow-up were found. 21,22 In the present study, the operating time was the same in both groups: 220 vs 200 min in the obese and non-obese groups, respectively (P=0.232). Two retrospective studies have already evaluated the technical feasibility of sacrocolpopexy by laparotomy and also laparoscopy among obese patients.…”

Section: Discussionsupporting

confidence: 46%

“…Two retrospective studies have already evaluated the technical feasibility of sacrocolpopexy by laparotomy and also laparoscopy among obese patients. 21,22 Both techniques are available for obese women: the only difference is length of surgery. Considering the laparotomy approach, Bradley et al 21 found that operating times were significantly longer for obese women than non-obese women (189 vs 169 min; P=0.02).…”

Section: Discussionmentioning

confidence: 99%

“…In both studies, the number of concurrent procedures for urinary-stress incontinence or hysterectomy was similar in both groups. 22 The ideal surgical approach, and especially the functional results, must be as minimally invasive as possible. To fulfill this criterion, ideal POP repair should be by laparoscopy or robot-assisted laparoscopy.…”

Section: Discussionmentioning

confidence: 99%

“…Although the authors of the laparotomy sacrocolpopexy study did not describe if they did or did not place a concomitant anterior and posterior mesh, 21 they only used a posterior mesh if the patient already had a posterior-compartment prolapse. 22 A limitation of our study is the short duration of follow-up. An extended period of follow-up is needed to confirm long-term findings, even when obesity is not considered to be a factor affecting the recurrence of POP.…”

Section: Articlementioning

confidence: 94%

“…Because the posterior approach in obese patients significantly contributes to the difficulty and length of this procedure, the longer operating time for RASCLP, compared to laparoscopic sacrocolpopexy, is because of the lower number of posterior prosthesis mesh placements among obese patients. 22 Moreover, docking times were not included in our study: this procedure increases anesthesia time by ~15 min.…”

Section: Articlementioning

confidence: 99%

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Comparison of functional outcomes after robot-assisted laparoscopic sacrocolpopexy in women with a BMI below and above 30

Thubert

Dabi

Joubert

et al. 2017

UIJ

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The aim of this study was to assess the impact of body-mass index on robot-assisted laparoscopic sacrocolpopexy (RALSCP). A retrospective study was conducted on women who underwent a RALSCP. Data were collected prospectively from 17 obese and 78 non-obese patients treated between January 2008 and January 2013. Obesity was defined as a body-mass index (BMI) of ≥30 kg/m 2 . Relationships with outcome analysed using MannWhitney U-test and Fisher's exact test. The operating time was the same in both groups: 220 vs 200 min in the obese and non-obese groups, respectively (P=0.232). The median follow-up was 12 months in both non-obese and obese patients. Overall anatomic repair rate was 94.1% and 97.4% for obese and non-obese patients, respectively (P=0.95). The overall reoperation rate (including surgery for de novo urinary-stress incontinence) was 5.9% for obese vs 11.5% for non-obese patients (P=0.8). These findings suggest that RALSCP is a viable option for obese women. The complication rates and outcomes for obese women were similar to those for non-obese women.

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Section: Discussionsupporting

confidence: 46%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Articlementioning

confidence: 94%

Section: Articlementioning

confidence: 99%

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Comparison of functional outcomes after robot-assisted laparoscopic sacrocolpopexy in women with a BMI below and above 30

Thubert

Dabi

Joubert

et al. 2017

UIJ

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Laparoscopic sacrocolpopexy posthysterectomy: intraoperative feasibility and safety in obese women compared with women of normal weight

et al. 2019

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Introduction and hypothesisOur aim was to determine the intraoperative feasibility and complication rate of laparoscopic sacrocolpopexy (LSC) in overweight and obese women compared with women of normal weight.MethodsThis was a retrospective observational cohort study (Canadian Task Force classification II-2) conducted at a tertiary urogyaenocology unit evaluating 119 women who underwent LSC between March 2005 and January 2013.ResultsBody mass index (BMI) was classified as normal (22.89 ± 1.55), overweight (27.12 ± 1.40) and obese (33.47 ± 3.26) according to the World Health Organisation (WHO) classification. There was no difference in intraoperative complication rates for bladder, bowel, ureteric or vascular injury; haemorrhage; conversion to laparotomy; or anaesthetic complications for normal weight, overweight or obese women. Similarly there was no difference in operating time, duration of anaesthetic or hospital stay between BMI class (p = 0.070, p = 0.464, p = 0.898, respectively) postoperative or mesh complication rates. At 6-months’ follow-up, there was no difference in Patient Global Impression of Improvement scale (PGI-I) (defined as very much better or much better) between normal weight, overweight and obese women (76.9, 72 and 65.4%, p = .669) or objective cure using the Pelvic Organ Prolapse Quantification (POP-Q) examination (p = 0.402).ConclusionsLSC is feasible, with equivalent intraoperative complication rates for normal weight, overweight and obese women when performed by experienced laparoscopic urogynaecologists. Given the benefits of a laparoscopic approach in obese women, the authors suggest they should be offered LSC as an option to treat vault prolapse when surgical management is being considered.

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Obesity and its long-term impact on sacrocolpopexy key outcomes (OBELISK)

Smazinka¹,

Kališ

Havir³

et al. 2019

Int Urogynecol J

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Outcomes and feasibility of laparoscopic sacrocolpopexy among obese versus non‐obese women

Abstract: Laparoscopic sacrocolpopexy has similar complication rates and short-term outcomes among both obese and non-obese women.

Cited by 26 publications

References 27 publications

Comparison of functional outcomes after robot-assisted laparoscopic sacrocolpopexy in women with a BMI below and above 30

Comparison of functional outcomes after robot-assisted laparoscopic sacrocolpopexy in women with a BMI below and above 30

Laparoscopic sacrocolpopexy posthysterectomy: intraoperative feasibility and safety in obese women compared with women of normal weight

Obesity and its long-term impact on sacrocolpopexy key outcomes (OBELISK)

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