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Vaginal hysterectomy for benign disorders in obese women: a prospective study.
BJOG. 2005 Feb; 112(2):223-7.BJOG

Abstract

OBJECTIVE

To compare the morbidity of vaginal hysterectomy in obese and non-obese women in a single institution.

DESIGN

Obese and non-obese women with benign uterine disorders matched for age, parity and race underwent vaginal hysterectomy without laparoscopic assistance. Peri-operative outcome complications were compared. Thirty-eight women had a BMI over 30 kg/m(2) (study group) and 178 women had a BMI below 30 kg/m(2) (control group).

SETTING

Gynaecologic department of a university hospital.

POPULATION

Women who were referred to our department with an indication of vaginal hysterectomy for benign disorders.

METHODS

Case control study.

MAIN OUTCOME MEASURES

Peri-operative complications, the fall in the haemoglobin concentration, the duration of the procedure, the length of the hospital stay and uterine weight were analysed.

RESULTS

Mean BMI was 33.2 and 23.7 kg/m(2) in the study and control groups, respectively. None of the obese women had severe co-morbidity contraindicating surgery. There were no significant differences in surgical or anaesthetic risk factors, including parity, hormonal status, pre-existing disease and estimated mean uterine weight. The overall complication rates were 14% and 16% in the obese and non-obese groups, respectively (P= 0.7). Obesity did not increase the duration of the procedure (48 [7] minutes vs 50 [10] minutes, P= 0.1) or the length of hospitalisation (5.8 [1.4] days vs 5.5 [1.2] days, P= 0.2).

CONCLUSION

Vaginal hysterectomy can be successfully performed, with acceptable morbidity, in obese women.

Authors+Show Affiliations

Rafii A
Department of Gynaecology and Obstétrics, Hôpital Beaujon, 92110 Clichy, France.
Samain E
No affiliation info available
Levardon M
No affiliation info available
Darai E
No affiliation info available
Deval B
No affiliation info available

MeSH

AdultAgedAnesthesiaCase-Control StudiesFeasibility StudiesFemaleHumansHysterectomy, VaginalLength of StayMiddle AgedObesityOrgan SizePostoperative ComplicationsProspective StudiesUterine Diseases

Pub Type(s)

Comparative Study
Evaluation Study
Journal Article

Language

eng

PubMed ID

15663588

Citation

Rafii, Arash, et al. "Vaginal Hysterectomy for Benign Disorders in Obese Women: a Prospective Study." BJOG : an International Journal of Obstetrics and Gynaecology, vol. 112, no. 2, 2005, pp. 223-7.
Rafii A, Samain E, Levardon M, et al. Vaginal hysterectomy for benign disorders in obese women: a prospective study. BJOG. 2005;112(2):223-7.
Rafii, A., Samain, E., Levardon, M., Darai, E., & Deval, B. (2005). Vaginal hysterectomy for benign disorders in obese women: a prospective study. BJOG : an International Journal of Obstetrics and Gynaecology, 112(2), 223-7.
Rafii A, et al. Vaginal Hysterectomy for Benign Disorders in Obese Women: a Prospective Study. BJOG. 2005;112(2):223-7. PubMed PMID: 15663588.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vaginal hysterectomy for benign disorders in obese women: a prospective study. AU - Rafii,Arash, AU - Samain,Emmanuel, AU - Levardon,Michel, AU - Darai,Emile, AU - Deval,Bruno, PY - 2005/1/25/pubmed PY - 2005/2/18/medline PY - 2005/1/25/entrez SP - 223 EP - 7 JF - BJOG : an international journal of obstetrics and gynaecology JO - BJOG VL - 112 IS - 2 N2 - OBJECTIVE: To compare the morbidity of vaginal hysterectomy in obese and non-obese women in a single institution. DESIGN: Obese and non-obese women with benign uterine disorders matched for age, parity and race underwent vaginal hysterectomy without laparoscopic assistance. Peri-operative outcome complications were compared. Thirty-eight women had a BMI over 30 kg/m(2) (study group) and 178 women had a BMI below 30 kg/m(2) (control group). SETTING: Gynaecologic department of a university hospital. POPULATION: Women who were referred to our department with an indication of vaginal hysterectomy for benign disorders. METHODS: Case control study. MAIN OUTCOME MEASURES: Peri-operative complications, the fall in the haemoglobin concentration, the duration of the procedure, the length of the hospital stay and uterine weight were analysed. RESULTS: Mean BMI was 33.2 and 23.7 kg/m(2) in the study and control groups, respectively. None of the obese women had severe co-morbidity contraindicating surgery. There were no significant differences in surgical or anaesthetic risk factors, including parity, hormonal status, pre-existing disease and estimated mean uterine weight. The overall complication rates were 14% and 16% in the obese and non-obese groups, respectively (P= 0.7). Obesity did not increase the duration of the procedure (48 [7] minutes vs 50 [10] minutes, P= 0.1) or the length of hospitalisation (5.8 [1.4] days vs 5.5 [1.2] days, P= 0.2). CONCLUSION: Vaginal hysterectomy can be successfully performed, with acceptable morbidity, in obese women. SN - 1470-0328 UR - https://www.unboundmedicine.com/medline/citation/15663588/Vaginal_hysterectomy_for_benign_disorders_in_obese_women:_a_prospective_study_ DB - PRIME DP - Unbound Medicine ER -