Impact of Obesity on Robotic-Assisted Sacrocolpopexy.
To compare operative time in women stratified by body mass index (BMI) undergoing robotic-assisted sacrocolpopexy (RASC). Secondary objectives included characterizing perioperative characteristics and reoperation rates.



Retrospective cohort study (Canadian Task Force classification II-2).



University-affiliated teaching hospital.



One hundred seventy-nine consecutive patients who underwent RASC by a single surgeon from 2009 through 2013.



RASC.



Of 179 patients, 61 (34%) were normal weight (BMI < 25 kg/m2), 72 (40%) were overweight (BMI 25-30 kg/m2), and 46 (26%) were obese (BMI ≥ 30 kg/m2). Overweight patients were significantly older, more parous, more frequently postmenopausal, and more frequently underwent concomitant salpingo-oophorectomy. Median operative times were 202, 206, and 216 minutes in the normal-weight, overweight, and obese groups, respectively (p = .53).



Obese women undergoing RASC have similar operative time and procedural characteristics as normal-weight and overweight patients. Longer term outcomes are needed to ensure comparable surgical and anatomic success.
Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama. Electronic address: Lkissane@uabmc.edu.
Lindsay M
LM
Kissane
Department of Biostatistics, Winthrop University Hospital, Mineola, New York.
Rose
R
Calixte
Division of Urogynecology, Department of Obstetrics and Gynecology, Winthrop University Hospital, Mineola, New York.
Bogdan
B
Grigorescu
Division of Urogynecology, Department of Obstetrics and Gynecology, Northwell Health, Long Island, New York.
Peter
P
Finamore
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Winthrop University Hospital, Mineola, New York.
Anthony
A
Vintzileos
D015331:Cohort Studies; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D008875:Middle Aged; D009765:Obesity / Q000150:complications*; D061646:Operative Time; D012086:Reoperation; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures
Obesity; Operative time; Outcomes; Pelvic organ prolapse; Robotic; Sacrocolpopexy