What's the impact of the obesity on the safety of laparoscopic hysterectomy techniques?
OBJECTIVE
To evaluate the impact of obesity in the safety of laparoscopic hysterectomy.


METHODS
A retrospective study was conducted using a database of 2271 women undergoing laparoscopic hysterectomy for benign diseases between January 1995 and December 2008 at the Centre Hospitalier Universitaire Estaing (Clermont-Ferrand, France). Patients were divided into two groups according to the body mass index: <30 kg/m(2) (n=2088) and ≥ 30 kg/m(2) (n=183). Primary outcomes were differences in conversion rates, operating time, estimated blood loss, intraoperative complications, and early postoperative complications.


RESULTS
There was no difference in the operative time (121.3 versus 122.5 minutes; P=.71), in the difference between pre- and postoperative hemoglobin levels (1.8 versus 1.6 g/dL; P=.28), and in the conversion rate (4.6% versus 5.5%; P=.62) comparing the two groups. The overall intraoperative complication rate was 14.03% (n=293) and 13.66% (n=25) for nonobese and obese patients (P=.89), respectively. The overall postoperative complication rate was 8.81% (n=184) and 7.65% (n=14), respectively.


CONCLUSIONS
Obesity does not have an adverse effect on the feasibility and safety of laparoscopic hysterectomy in experienced hands.
Department of Gynecologic Surgery, University Hospital Center Estaing, Clermont-Ferrand, France. williamkondo@yahoo.com
William
W
Kondo
Nicolas
N
Bourdel
Francesca
F
Marengo
Revaz
R
Botchorishvili
Jean Luc
JL
Pouly
Kris
K
Jardon
Benoit
B
Rabischong
Gérard
G
Mage
Michel
M
Canis
D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000379:methods*; D007431:Intraoperative Complications / Q000453:epidemiology / Q000209:etiology; D010535:Laparoscopy; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies; D012307:Risk Factors; D014591:Uterine Diseases / Q000150:complications / Q000601:surgery