Association of body mass index and morbidity after abdominal, vaginal, and laparoscopic hysterectomy

Obstetrics and Gynecology
Divya Kelath ShahStacey A Missmer

Abstract

To examine the association of body mass index (BMI) and operative time and perioperative morbidity after hysterectomy and determine whether the association varies among abdominal, laparoscopic, and vaginal approaches. Data abstracted from the American College of Surgeons National Safety and Quality Improvement Project registry included 55,409 women who underwent hysterectomy for benign conditions between January 2005 and December 2012. The relationships among BMI, operative time, and morbidity were examined, adjusting for age, race, ethnicity, year of surgery, smoking, diabetes, and American Society for Anesthesiologists physical classification. Adjusted means, incidence rate ratios, or odds ratios (ORs) with 95% confidence intervals (CIs) were calculated using linear, Poisson, or logistic regression, respectively. Body mass index was positively correlated with risk of wound complications and infection in women undergoing abdominal hysterectomy. Compared with those of normal BMI, women with BMIs 40 or higher had five times the odds of wound dehiscence (2.1% compared with 0.3%, crude OR 7.35, CI 3.78-14.30; adjusted OR 5.33, CI 2.63-10.8), five times the odds of wound infection (8.9% compared with 1.4%, crude OR 6.81, CI 5.00-9....Continue Reading

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Citations

Oct 16, 2015·Acta Obstetricia Et Gynecologica Scandinavica·Katja Stenström BohlinIan Milsom
Nov 28, 2015·Journal of Minimally Invasive Gynecology·Sara R C DriessenFrank Willem Jansen
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Aug 28, 2016·Surgical Oncology·Alberto A MendivilBram H Goldstein
Oct 30, 2016·Journal of Surgical Oncology·Shirley J HinshawWilliam H Bradley
Oct 25, 2016·Journal of Minimally Invasive Gynecology·Divya K ShahStacey A Missmer
Dec 8, 2016·Obstetrics and Gynecology·Joseph E PellegriniLauren A Lemieux
Oct 12, 2018·Obstetrics and Gynecology·Elisa M JorgensenHye-Chun Hur
Mar 26, 2019·Surgical Innovation·Paul TyanGaby N Moawad
Dec 7, 2019·Obstetrics and Gynecology·John O Schorge
Jun 9, 2016·Current Opinion in Obstetrics & Gynecology·Michelle LouieLauren D Schiff
Jul 3, 2019·Current Pain and Headache Reports·Gulden MenderesDan-Arin Silasi
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May 4, 2021·International Urogynecology Journal·Nina Durchfort MetcalfeGina M Northington
Jun 18, 2021·Journal of Minimally Invasive Gynecology·Maria J SmithBhavana Pothuri
Dec 14, 2016·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Joseph E PellegriniLauren A Lemieux

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