The association between body mass index and perioperative and postoperative outcomes in patients undergoing total laparoscopic hysterectomy. Medellin, Colombia 2002-2008

Authors

  • Juan D. Castañeda
  • José F. De Los Ríos
  • Gustavo A. Calle
  • Eduardo Serna
  • Ricardo A. Vásquez
  • Ana M. Mejía
  • Adriana M. Arango
  • Carlos A. Buitrago

DOI:

https://doi.org/10.18597/rcog.278

Keywords:

total laparoscopic hysterectomy, body mass index, laparoscopy, complications, surgical time, hospital stay
Abstract Authors References How to Cite Downloads

Abstract

Objectives: evaluating the possible association between body mass index (BMI) and peri-and post-operative results in patients undergoing total laparoscopic hysterectomy (TLH).

Methodology: a historical cohort of patients was taken over a 5-year period; they had undergone TLH in a referral centre for gynaecological laparoscopy. All patients who had undergone TLH and about whom complete information was available were included. Patients were divided into three groups according to body mass as follows: BMI below 24.9 kg/m2: “normal” (n = 339), BMI 25 -29.9 kg/m2: “overweight” (n = 243) and BMI greater than 30 kg/m2: “obese” (n = 94). Surgical time, complications, blood loss, transfusion requirement, laparoconversion rate and length of hospital stay were compared. ANOVA was used for comparing the three groups.

Results: 676 patients met the study requirements. No significant differences regarding blood loss, operating time, hospital stay, complication rate or laparoconversion were found.

Conclusion: no association was found between BMI and poor results during peri-and postoperative periods.

Author Biographies

Juan D. Castañeda

Ginecólogo Endoscopista Unidad de Endoscopia Ginecológica Clínica del Prado, Profesor de Endoscopia Ginecológica CES, Medellín (Colombia).

José F. De Los Ríos

Ginecólogo Endoscopista Unidad de Endoscopia Ginecológica Clínica del Prado, Profesor de Endoscopia Ginecológica CES, Medellín (Colombia).

Gustavo A. Calle

Ginecólogo Endoscopista Unidad de Endoscopia Ginecológica Clínica del Prado, Profesor de Endoscopia Ginecológica CES, Medellín (Colombia).

Eduardo Serna

Ginecólogo Endoscopista Unidad de Endoscopia Ginecológica Clínica del Prado, Profesor de Endoscopia Ginecológica CES, Medellín (Colombia).

Ricardo A. Vásquez

Ginecólogo Endoscopista Unidad de Endoscopia Ginecológica Clínica del Prado, Profesor de Endoscopia Ginecológica CES, Medellín (Colombia).

Ana M. Mejía

Instrumentadora Unidad de Endoscopia Ginecológica Clínica del Prado, Profesora de Instrumentación Quirúrgica Universidad de Antioquia, Medellín (Colombia).

Adriana M. Arango

Ginecóloga y Obstetra CES, Magister en Epidemiología, Fellow Endoscopia Ginecológica Universidad CES, Medellín (Colombia).

Carlos A. Buitrago

Fellow Endoscopia Ginecológica Universidad CES, Medellín (Colombia).

References

Mokdad AH, Bowman BA, Ford ES, Vinicor F, Marks JS, Koplan JP. The continuing epidemics of obesity and diabetes in the United States. JAMA 2001;286:1195-200.

Mokdad AH, Serdula MK, Dietz WH, Bowman BA, Marks JS, Koplan JP. The spread of the obesity epidemic in the United States, 1991-1998. JAMA 1999;282:1519-22.

World Health Organization. Global database on child growth and malnutrition. Geneva: WHO; 1997.

Gamboa EM, López N, Quintero DC. Prevalencia de sobrepeso y obesidad en adolescentes del municipio de Floridablanca, Colombia. MedUNAB 2007;10:5-12.

Gordon AG, Magos AL. The development of laparoscopic surgery. Bailliere Clin Obstet Gynecol 1989;3:429-49.

Doucette RC, Scott JR. Comparison of laparoscopically assisted vaginal hysterectomy with abdominal and vaginal hysterectomy. J Reprod Med 1996;41:1-6.

Olive DL, Parker WH, Cooper JM, Levine RL. The AAGL classification system for laparoscopic hysterectomy. Classification committee of the American Association of Gynecologic Laparoscopists. J Am Assoc Gynecol Laparosc 2000;7:9-15.

Curet MJ. Special problems in laparoscopic surgery. Previous abdominal surgery, obesity, and pregnancy. Surg Clin North Am 2000;80:1093-110.

Frumovitz M, Sun CC, Jhingran A, Schmeler KM, Dos Reis R, Milam MR, et al. Radical Hysterectomy in obese and morbidly obese women with cervical cancer. Obstet Gynecol 2008;112:899-905.

Eltabbakh G, Piver MS, Hempling RE, Recio FO. Laparoscopic surgery in obese women. Obstet Gynecol 1999;94:704-8.

Isik-Akbay EF, Harmanli OH, Panganamamula UR, Akbay M, Gaughan J, Chatwani AJ. Hysterectomy in obese women: a comparison of abdominal and vaginal routes. Obstet Gynecol 2004;104:710-4.

O'Hanlan KA, Huang GS, Lopez L, Garnier AC. Selective incorporation of total laparoscopic hysterectomy for adnexal pathology and body mass index. Gynecol Oncol 2004;93:137-43.

O'Hanlan K, Dibble SL, Fisher DT. Total laparoscopic hysterectomy: body mass index and outcomes. Obstet Gynecol 2003;102:1384-92.

Heinberg EM, Crawford BL 3rd, Weitzen SH, Bonilla DJ. Total laparoscopic hysterectomy in obese versus nonobese patients. Obstet Gynecol 2004;103:674-80.

O'Hanlan K, Dibble SL, Fisher DT. Total laparoscopic hysterectomy for uterine pathology: impact of body mass index on outcomes. Gynecol Oncol 2006;103:938-41.

How to Cite

1.
Castañeda JD, De Los Ríos JF, Calle GA, Serna E, Vásquez RA, Mejía AM, et al. The association between body mass index and perioperative and postoperative outcomes in patients undergoing total laparoscopic hysterectomy. Medellin, Colombia 2002-2008. Rev. colomb. obstet. ginecol. [Internet]. 2010 Jun. 30 [cited 2024 May 11];61(2):108-12. Available from: https://revista.fecolsog.org/index.php/rcog/article/view/278

Downloads

Download data is not yet available.

Downloads

Published

2010-06-30

Issue

Vol. 61 No. 2 (2010): ABRIL-JUNIO 2010

Section

Original Research

License

Copyright (c) 2015 Revista Colombiana de Obstetricia y Ginecología

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

QR Code

Altmetric

Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views
Crossref Cited-by logo

Some similar items: