Hysterectomy in women with obesity: complications related to surgical site

Naveiro-Fuentes, Mariña; Rodríguez-Oliver, A.J.; Maroto-Martín, María T; González-Paredes, A.; Aguilar-Romero, María T; Mozas-Moreno, Juan

doi:10.23736/s0026-4733.16.07215-1

Cited by 2 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Studies have shown that the greater the BMI, the more likely is a chance for surgical di culties and complications during hysterectomy [3,4]. Of the various surgical approaches available, the transvaginal approach has been associated with the least morbidity and the shortest recovery time [5]. Despite this, transvaginal hysterectomy is performed in only 11 to 13% of hysterectomies in the United States [6].…”

Section: Introductionmentioning

confidence: 99%

vNOTES (vaginal natural orifice transluminal surgery) gynecologic procedures in morbidly and super-morbidly obese women: five year experience

Burnett,

Pitman,

Baekelandt

2023

Arch Gynecol Obstet

View full text Add to dashboard Cite

To analyze our experience with vNOTES gynecologic procedures in women with morbid and super morbid obesity. MethodsGynecologic procedures performed by three surgeons on women with a body mass index (BMI) ≥ 40 kg/m 2 from 2017 to 2023. A subset of women with a BMI ≥ 50 kg/m 2 were also analyzed. Results103 women with a BMI ≥ 40kg/m 2 were identi ed, 19 of whom had a BMI ≥ 50 kg/m 2 . For the entire population the mean BMI was 45.7 kg/m2 (40-62). 29 women were nulliparous and 23 had at least one prior cesarean delivery. 51 had no prior abdominal surgery. The procedures performed were hysterectomy and removal of adnexae in 77 patients, hysterectomy alone in six, adnexal surgery alone in nine, and hysterectomy with adnexectomy and lymph nodes in ve. Two surgeries were converted to laparoscopy and ve to laparotomy. Average surgical time was 87 minutes (30-232). Average blood loss was 82 mL (10-400). Mean uterine weight was 206 g (29-2890). 53 procedures were performed as outpatient, 44 had overnight observation, four had a length of stay of two days, one each for four days and ve days.The laparoscopies occurred in one patient with an obliterated cul-de-sac and in one patient for lymph node removal. The laparotomies occurred for adnexal adhesions in one, bleeding in two, a cystotomy in one requiring urology consultation, and an obliterated cul-de-sac One patient developed a postoperative vaginal cuff hematoma not requiring intervention. ConclusionvNOTES gynecologic procedures are feasible in this high-risk population and may result in shorter recovery times and fewer complications than standard laparoscopy or laparotomy.

show abstract

Section: Introductionmentioning

confidence: 99%

vNOTES (vaginal natural orifice transluminal surgery) gynecologic procedures in morbidly and super-morbidly obese women: five year experience

Burnett,

Pitman,

Baekelandt

2023

Arch Gynecol Obstet

View full text Add to dashboard Cite

show abstract

VNOTES (Vaginal Natural Orifice Transluminal Surgery) Gynecologic Procedures in Morbidly and Super-morbidly Obese Women: Five Year Experience for Three Surgeons

Burnett

Pitman²,

Baekelandt³

2023

Preprint

View full text Add to dashboard Cite

Purpose To analyze our experience with vNOTES gynecologic procedures in women with morbid and super morbid obesity. Methods Gynecologic procedures performed by three surgeons on women with a body mass index (BMI) ≥ 40 kg/m2 from 2017 to 2023. A subset of women with a BMI ≥ 50 kg/m2 were also analyzed. Results 103 women with a BMI ≥ 40kg/m2 were identified, 19 of whom had a BMI ≥ 50 kg/m2. For the entire population the mean BMI was 45.7 kg/m2 (40–62). 29 women were nulliparous and 23 had at least one prior cesarean delivery. 51 had no prior abdominal surgery. The procedures performed were hysterectomy and removal of adnexae in 77 patients, hysterectomy alone in six, adnexal surgery alone in nine, and hysterectomy with adnexectomy and lymph nodes in five. Two surgeries were converted to laparoscopy and five to laparotomy. Average surgical time was 87 minutes (30–232). Average blood loss was 82 mL (10–400). Mean uterine weight was 206 g (29-2890). 53 procedures were performed as outpatient, 44 had overnight observation, four had a length of stay of two days, one each for four days and five days. The laparoscopies occurred in one patient with an obliterated cul-de-sac and in one patient for lymph node removal. The laparotomies occurred for adnexal adhesions in one, bleeding in two, a cystotomy in one requiring urology consultation, and an obliterated cul-de-sac One patient developed a postoperative vaginal cuff hematoma not requiring intervention. Conclusion vNOTES gynecologic procedures are feasible in this high-risk population and may result in shorter recovery times and fewer complications than standard laparoscopy or laparotomy.

show abstract

Hysterectomy in women with obesity: complications related to surgical site

Cited by 2 publications

References 0 publications

vNOTES (vaginal natural orifice transluminal surgery) gynecologic procedures in morbidly and super-morbidly obese women: five year experience

vNOTES (vaginal natural orifice transluminal surgery) gynecologic procedures in morbidly and super-morbidly obese women: five year experience

VNOTES (Vaginal Natural Orifice Transluminal Surgery) Gynecologic Procedures in Morbidly and Super-morbidly Obese Women: Five Year Experience for Three Surgeons

Contact Info

Product

Resources

About