title: Laparoscopic-assisted vaginal hysterectomy in women of all weights and the effects of weight on complications.
abstract: OBJECTIVE
  To compare intraoperative and postoperative complication rates for laparoscopic-assisted vaginal hysterectomy (LAVH) between women classified as obese, normal weight, or very thin based on body mass index (BMI).
  
  
  METHODS
  Retrospective cohort study (Canadian Task Force classification II-3).
  
  
  METHODS
  University hospital.
  
  
  METHODS
  Six hundred seventy women (162 with BMI >25, 34 with BMI <18.5, 474 with BMI 18.5-25 kg/m(2)).
  
  
  METHODS
  LAVH.
  
  
  RESULTS
  For women with high BMIs, 34 procedures (21.0%) were converted to laparotomy, compared with 48 (10.1%) for women of normal body weight and 3 (8.8%) for those with low BMI (p = 0.001). Average blood loss was 299.3 +/- 87.8, 219.1 +/- 57.5, and 231.8 +/- 65.9 ml, respectively (p <0.001). Very thin women had similar intraoperative and postoperative complication rates (8.8 %) as women of normal body weight (8.6%) and obese women (11.1%).
  
  
  CONCLUSIONS
  Obese women had increased likelihood of conversion to laparotomy and greater blood loss after LAVH than nonobese women. Very thin women had similar intraoperative and postoperative complication rates as women of normal body weight and obese women.
authors.affiliation: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, 4F-4, 123-6, Ta-Pei Road, Niao Sung Hsiang, Kaohsiung, Taiwan.
authors.forename: Chung-Chang
authors.initials: CC
authors.lastname: Shen
authors.forename: Te-Yao
authors.initials: TY
authors.lastname: Hsu
authors.forename: Fu-Jen
authors.initials: FJ
authors.lastname: Huang
authors.forename: Eng-Yen
authors.initials: EY
authors.lastname: Huang
authors.forename: Hsuan-Wei
authors.initials: HW
authors.lastname: Huang
authors.forename: Hung-Yao
authors.initials: HY
authors.lastname: Chang
authors.forename: Chih-Yang
authors.initials: CY
authors.lastname: Chang
authors.forename: Hsu-Huei
authors.initials: HH
authors.lastname: Weng
authors.forename: Hsueh-Wen
authors.initials: HW
authors.lastname: Chang
authors.forename: Shiuh-Young
authors.initials: SY
authors.lastname: Chang
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D015992:Body Mass Index; D001835:Body Weight; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects / Q000379:methods*; D015907:Hysteroscopy / Q000009:adverse effects / Q000379:methods; D015994:Incidence; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D009765:Obesity / Q000150:complications* / Q000175:diagnosis; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology*; D011336:Probability; D012016:Reference Values; D012189:Retrospective Studies; D018570:Risk Assessment; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000473:pathology / Q000601:surgery*