Association between obesity and the trends of routes of hysterectomy performed for benign indications

Obstetrics and Gynecology
Emad MikhailAnthony N Imudia

Abstract

To estimate the association between obesity and the recent trends of routes chosen for hysterectomy performed for benign indications in the United States. Using the American College of Surgeons-National Surgical Quality Improvement Project's database, patients who underwent hysterectomy for benign indications from 2005 to 2011 were identified by International Classification of Diseases, 9th Revision codes and were categorized into total abdominal hysterectomy (TAH), total vaginal hysterectomy (TVH), laparoscopically assisted vaginal hysterectomy (LAVH), and total laparoscopic hysterectomy (TLH). The patients were divided into four subgroups according to body mass index (BMI) (less than 25, 25-29.9, 30-39.9, and 40 or greater). The data were analyzed using Student's t test or χ2 and Fisher's exact test. A total of 18,810 patients underwent hysterectomy for benign indications during the study period: 9,852 (52.4%) were TAH, 5,146 (27.4%) TVH, 2,296 (12.2%) LAVH, and 1,516 (8.0%) TLH. The rates of TAH increased from 45.7% in patients with ideal body weight to 62% in morbidly obese patients (P<.001). The rate of TVH and LAVH decreased from 32.7% and 13.3% in patients with ideal body weight to 17.1% and 11.7% in morbidly obese patie...Continue Reading

References

Jan 1, 1985·Statistics in Medicine·J Cuzick
Dec 24, 1997·Journal of the American College of Surgeons·P S Choban, L Flancbaum
Mar 31, 2004·Obstetrics and Gynecology·Eric M HeinbergDavid J Bonilla
Jul 11, 2006·Gynecologic Oncology·Katherine A O'HanlanDeidre T Fisher
Jun 5, 2007·Journal of the American College of Surgeons·Katherine S RowellWilliam G Henderson
Dec 18, 2007·Lancet·Michael Korenkov, Stefan Sauerland
Nov 13, 2009·American Journal of Surgery·William G Henderson, Jennifer Daley
Feb 20, 2010·Obstetrics and Gynecology·Vanessa L JacobyAlison Jacoby
Sep 23, 2010·Obstetrics and Gynecology·Leslie R BoydJohn P Curtin
Nov 10, 2010·Journal of Minimally Invasive Gynecology·UNKNOWN AAGL Advancing Minimally Invasive Gynecology Worldwide
Apr 7, 2011·Human Reproduction·Merete OslerBent Ottesen
Oct 23, 2012·Journal of Minimally Invasive Gynecology·Matthew T SiedhoffJohn F Steege
Aug 13, 2013·Journal of Minimally Invasive Gynecology·Tyler M Muffly, Nathan S Kow
Sep 11, 2013·Current Opinion in Obstetrics & Gynecology·Azadeh RezvanNarender N Bhatia

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Citations

Nov 28, 2015·Journal of Minimally Invasive Gynecology·Sara R C DriessenFrank Willem Jansen
Feb 16, 2016·Current Obstetrics and Gynecology Reports·Lucy LiuAndrea R Hagemann
Dec 7, 2019·Obstetrics and Gynecology·John O Schorge
Jun 9, 2016·Current Opinion in Obstetrics & Gynecology·Michelle LouieLauren D Schiff
Apr 8, 2016·Female Pelvic Medicine & Reconstructive Surgery·Lindsay TurnerJonathan P Shepherd
Jul 19, 2018·Minimally Invasive Surgery·Entidhar Al SawahEmad Mikhail

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