The influence of body mass index on the prevalence of complications after vaginal and abdominal hysterectomy.
OBJECTIVE
To investigate the association between obesity and peri- or postoperative complications after hysterectomy for nonmalignant bleeding disorders.


METHODS
Data from 444 vaginal hysterectomies and 503 abdominal hysterectomies indicated by benign bleeding disorders were drawn from a regional database. Data on peri- or postoperative complications and postoperative stay were related to preoperative body mass index (BMI).


RESULTS
Obesity was related to longer operation time for vaginal as well as abdominal hysterectomy and to large perioperative blood loss for vaginal hysterectomy only. No association was found between BMI and serious complications such as ileus, infection or hematomas except for a higher prevalence of wound hematoma after abdominal hysterectomy in underweight and normal weight patients. Neither was any association found between BMI and use of blood transfusion, reoperation or prolonged postoperative stay.


CONCLUSIONS
Vaginal and abdominal hysterectomy have a significant risk of complications, but obese patients did not experience an increased risk of serious morbidity compared to normal weight women. Obesity per se is not a contraindication of vaginal or abdominal hysterectomy in otherwise healthy women.
Rasmussen
Kjeld Leisgaard
KL
Departments of Gynecology and Obstetrics, Herning Central Hospital, Denmark. kjeldlr@dadlnet.dk
Neumann
Gudrun
G
Ljungström
Britt
B
Hansen
Villy
V
Lauszus
Finn Friis
FF
D015992:Body Mass Index; D003718:Denmark / Q000453:epidemiology; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007045:Hysterectomy, Vaginal; D008499:Medical Records; D008875:Middle Aged; D009765:Obesity; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D015995:Prevalence; D012189:Retrospective Studies