Vaginal hysterectomy for benign disorders in obese women: A prospective study

Arash Rafii, Emmanuel Samain, Michel Levardon, Emile Darai, Bruno Deval

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19 Citations (Scopus)

Abstract

Objective: To compare the morbidity of vaginal hysterectomy in obese and non-obese women in a single institution. Design: Obese and non-obese women with benign uterine disorders matched for age, parity and race underwent vaginal hysterectomy without laparoscopic assistance. Peri-operative outcome complications were compared. Thirty-eight women had a BMI over 30 kg/m 2 (study group) and 178 women had a BMI below 30 kg/m2 (control group). Setting: Gynaecologic department of a university hospital. Population: Women who were referred to our department with an indication of vaginal hysterectomy for benign disorders. Methods: Case control study. Main outcome measures: Peri-operative complications, the fall in the haemoglobin concentration, the duration of the procedure, the length of the hospital stay and uterine weight were analysed. Results: Mean BMI was 33.2 and 23.7 kg/m 2 in the study and control groups, respectively. None of the obese women had severe co-morbidity contraindicating surgery. There were no significant differences in surgical or anaesthetic risk factors, including parity, hormonal status, pre-existing disease and estimated mean uterine weight. The overall complication rates were 14% and 16% in the obese and non-obese groups, respectively (P = 0.7). Obesity did not increase the duration of the procedure (48 [7] minutes vs 50 [10] minutes, P = 0.1) or the length of hospitalisation (5.8 [1.4] days vs 5.5 [1.2] days, P = 0.2). Conclusion: Vaginal hysterectomy can be successfully performed, with acceptable morbidity, in obese women.

Original languageEnglish
Pages (from-to)223-227
Number of pages5
JournalBJOG: An International Journal of Obstetrics and Gynaecology
Volume112
Issue number2
DOIs
Publication statusPublished - 1 Feb 2005

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ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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