Laparoscopic sacrocolpopexy posthysterectomy: intraoperative feasibility and safety in obese women compared with women of normal weight

International Urogynecology Journal
Charlotte MahoneyRohna Kearney

Abstract

Our aim was to determine the intraoperative feasibility and complication rate of laparoscopic sacrocolpopexy (LSC) in overweight and obese women compared with women of normal weight. This was a retrospective observational cohort study (Canadian Task Force classification II-2) conducted at a tertiary urogyaenocology unit evaluating 119 women who underwent LSC between March 2005 and January 2013. Body mass index (BMI) was classified as normal (22.89 ± 1.55), overweight (27.12 ± 1.40) and obese (33.47 ± 3.26) according to the World Health Organisation (WHO) classification. There was no difference in intraoperative complication rates for bladder, bowel, ureteric or vascular injury; haemorrhage; conversion to laparotomy; or anaesthetic complications for normal weight, overweight or obese women. Similarly there was no difference in operating time, duration of anaesthetic or hospital stay between BMI class (p = 0.070, p = 0.464, p = 0.898, respectively) postoperative or mesh complication rates. At 6-months' follow-up, there was no difference in Patient Global Impression of Improvement scale (PGI-I) (defined as very much better or much better) between normal weight, overweight and obese women (76.9, 72 and 65.4%, p = .669) or objective...Continue Reading

References

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Citations

Apr 18, 2020·Journal of Robotic Surgery·Radhika PatnamElizabeth J Geller
Aug 10, 2019·International Urogynecology Journal·Martin SmazinkaZdenek Rusavy
Jan 27, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Qiao WenYali Miao
Aug 19, 2021·International Urogynecology Journal·Fei Chi ChuangKuan Hui Huang

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Methods Mentioned

BETA
hysterectomy
dissection
dissect

Clinical Trials Mentioned

ISRCTN19907894

Software Mentioned

ICS
Stata
IUGA

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