Top

Archives of Gynecology and Obstetrics

Published in:

01-08-2012 | General Gynecology

Does obesity complicate perioperative course in patients undergoing abdominal hysterectomy?

Authors: Leszek Mitas, Lech Rogulski, Jacek Ziebinski

Published in: Archives of Gynecology and Obstetrics | Issue 2/2012

Abstract

Aim

Obesity is traditionally believed to increase the incidence of perioperative complications in abdominal surgery. Recently this paradigm has been challenged mainly by observations from surgical specialties other than gynecology. Our aim was to assess the impact of obesity on perioperative course in women undergoing total abdominal hysterectomy.

Methods

We analyzed medical charts of 126 patients who underwent total abdominal hysterectomy for benign gynecological conditions through a low transverse incision in the Department of Obstetrics and Gynecology of the Provincial Specialist Hospital in Czestochowa, Poland. Perioperative course was compared between obese [n = 55; body mass index (BMI) ≥ 30 kg/m²: mean 32.6 ± 3.2 kg/m²] and non-obese patients (n = 71; mean BMI 24.3 ± 3 kg/m²).

Results

The mean operative time in obese women was significantly prolonged (112 ± 32 vs. 100 ± 31 min, P = 0.036). However, complication rates and other perioperative outcomes were comparable between the groups.

Conclusion

In our study, mild obesity does not significantly affect the perioperative course in women undergoing total abdominal hysterectomy.

Davenport DL, Xenos ES, Hosokawa P, Radford J, Henderson WG, Endean ED (2009) The influence of body mass index obesity status on vascular surgery 30-day morbidity and mortality. J Vasc Surg 49:140–147PubMedCrossRef

Mullen JT, Moorman DW, Davenport DL (2009) The obesity paradox: body mass index and outcomes in patients undergoing nonbariatric general surgery. Ann Surg 250:166–172PubMedCrossRef

Doyle SL, Lysaght J, Reynolds JV (2010) Obesity and post-operative complications in patients undergoing non-bariatric surgery. Obes Rev 11:875–886PubMedCrossRef

Nieboer TE, Johnson N, Lethaby A, Tavender E, Curr E, Garry R et al (2009) Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev 3:CD003677PubMed

Wu JM, Wechster ME, Geller EJ, Nguyen TV, Visco AG (2007) Hysterectomy rates in the United States 2003. Obstet Gynecol 110:1091–1095PubMedCrossRef

World Health Organization (2006) Obesity and overweight. Fact Sheet No 311. http://www.who.int/mediacentre/factsheets/fs311/en/index.html. Accessed 27 December 2011

Després JP, Lemieux I (2006) Abdominal obesity and metabolic syndrome. Nature 444:881–887PubMedCrossRef

Lean M, Lara J, Hill JO (2006) ABC of obesity: strategies for preventing obesity. BMJ 333:959–962PubMedCrossRef

Pitkin RM (1976) Abdominal hysterectomy in obese women. Surg Gynecol Obstet 142:532–536PubMed

10.

Mittendorf R, Aronson MP, Berry RE, Williams MA, Kupelnick B, Klickstein A et al (1993) Avoiding serious infections associated with abdominal hysterectomy: a meta-analysis of antibiotic prophylaxis. Am J Obstet Gynecol 169:1119–1124PubMed

11.

Grantcharov TP, Rosenberg J (2001) Vertical compared with transverse incisions in abdominal surgery. Eur J Surg 167:260–267PubMedCrossRef

12.

Rasmussen KL, Neumann G, Ljungström B, Hansen V, Lauszus FF (2004) The influence of body mass index on the prevalence of complications after vaginal and abdominal hysterectomy. Acta Obstet Gynecol Scand 83:85–88PubMed

13.

Harmanli O, Dandolu V, Lidicker J, Ayaz R, Panganamamula UR, Isik EF (2010) The effect of obesity on total abdominal hysterectomy. J Womens Health (Larchmt) 19:1915–1918CrossRef

14.

Santoso JT, Barton G, Riedley-Malone S, Wan JY (2011) Obesity and perioperative outcomes in endometrial cancer surgery. Arch Gynecol Obstet. doi:10.1007/s00404-011-2116-2

15.

Osler M, Daugbjerg S, Frederiksen BL, Ottesen B (2011) Body mass and risk of complications after hysterectomy on benign indications. Hum Reprod 26(6):1512–1518PubMedCrossRef

16.

Brummer TH, Jalkanen J, Fraser J, Heikkinen AM, Kauko M, Mäkinen J et al (2011) FINHYST, a prospective study of 5279 hysterectomies: complications and their risk factors. Hum Reprod 26(7):1741–1751PubMedCrossRef

Title: Does obesity complicate perioperative course in patients undergoing abdominal hysterectomy?
Authors: Leszek Mitas
Lech Rogulski
Jacek Ziebinski
Publication date: 01-08-2012
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 2/2012
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-012-2278-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Does obesity complicate perioperative course in patients undergoing abdominal hysterectomy?

Abstract

Aim

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Aim

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 2/2012

Effects of the menstrual cycle phases on the tilt testing results in vasovagal patients

Comparison of magnesium sulfate and mannitol in treatment of eclamptic women with posterior reversible encephalopathy syndrome

Work-related repetitive strain injuries amongst practitioners of obstetric and gynaecological ultrasound worldwide

Bone mineral density changes during pregnancy in actively exercising women as measured by quantitative ultrasound

Müllerian adenosarcoma of the uterus with heterologous elements: two case reports and literature review

Female genital system tuberculosis: a retrospective clinicopathological study of 1,548 cases in Turkish women