title: Outcomes and feasibility of laparoscopic sacrocolpopexy among obese versus non-obese women.
abstract: OBJECTIVE
  To compare complication rates and short-term outcomes of laparoscopic sacrocolpopexy among obese and non-obese women.
  
  
  METHODS
  A retrospective multicenter study of 39 obese women and 111 non-obese women was conducted. Obesity was defined as a body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters) above 30. Operative parameters (length of operation, associated procedures, complication rate, and length of hospitalization) and short-term (2 months) objective and subjective results were evaluated.
  
  
  RESULTS
  The median BMI in the obese group was 30.5 (interquartile range [IQR] 30-32) versus 23 (IQR 21-25) in the non-obese group (P<0.0001). Short-term anatomic results (postoperative stage of prolapse) were comparable in the obese and non-obese groups: stage 0-1, 87.1% versus 91.6% (P=0.60); stage 2, 10.2% versus 5.5% (P=0.60); stage 3-4, 2.5% versus 2.5% (P=0.60). Complication rates were also similar in the obese and non-obese groups: bladder injury, 2.5% versus 5.4% (P=0.77); laparoconversion, 5.1% versus 4.5% (P=0.77). Rates of reoperation (excluding women with de novo urinary stress incontinence) were 12.8% in the obese group and 8.1% in the non-obese group (P=0.58).
  
  
  CONCLUSIONS
  Laparoscopic sacrocolpopexy has similar complication rates and short-term outcomes among both obese and non-obese women.
authors.affiliation: Department of Gynecology and Obstetrics, AP-HP, Antoine Beclere Hospital, Clamart, France.
authors.forename: Thibault
authors.initials: T
authors.lastname: Thubert
authors.forename: Alix
authors.initials: A
authors.lastname: Naveau
authors.forename: Arnaud
authors.initials: A
authors.lastname: Letohic
authors.forename: Vincent
authors.initials: V
authors.lastname: Villefranque
authors.forename: Jean Louis
authors.initials: JL
authors.lastname: Benifla
authors.forename: Xavier
authors.initials: X
authors.lastname: Deffieux
mesh_terms: D015992:Body Mass Index; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008875:Middle Aged; D009765:Obesity / Q000150:complications*; D061646:Operative Time; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D012086:Reoperation; D012189:Retrospective Studies