Perioperative complications in obese women vs normal-weight women who undergo vaginal surgery

Chen, Grace; Collins, Sarah A.; Rodgers, Allison K.; Paraíso, Marie Fidela R.; Walters, Mark D.; Barber, Matthew D.

doi:10.1016/j.ajog.2007.03.055

Cited by 53 publications

(40 citation statements)

References 29 publications

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“…& BMI. Apart from being a risk factor for pelvic organ prolapse in epidemiological studies [27,28], an increased BMI has been associated with an increased risk of mesh exposure and wound infection [29]. In one series, the risk of exposure increased 10.1-fold in women with a BMI>30 [12].…”

Section: Individual Patient Factors (Host)mentioning

confidence: 95%

Selection of patients in whom vaginal graft use may be appropriate

et al. 2012

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Section: Individual Patient Factors (Host)mentioning

confidence: 95%

Selection of patients in whom vaginal graft use may be appropriate

et al. 2012

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“…A few previous studies have found that abdominal surgery for a gynecologic benign condition (other than POP) is associated with a greater incidence of wound infection in obese women compared to non-obese women. 6,16,17 In contrast, vaginal surgery for a hysterectomy or POP in obese women is associated with less morbidity than abdominal surgery in terms of blood transfusions or urinary retention. 18 In the literature, there are some discrepancies concerning the impact of BMI on RALSCP outcomes.…”

Section: Discussionmentioning

confidence: 99%

Comparison of functional outcomes after robot-assisted laparoscopic sacrocolpopexy in women with a BMI below and above 30

Thubert

Dabi

Joubert

et al. 2017

UIJ

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The aim of this study was to assess the impact of body-mass index on robot-assisted laparoscopic sacrocolpopexy (RALSCP). A retrospective study was conducted on women who underwent a RALSCP. Data were collected prospectively from 17 obese and 78 non-obese patients treated between January 2008 and January 2013. Obesity was defined as a body-mass index (BMI) of ≥30 kg/m 2 . Relationships with outcome analysed using MannWhitney U-test and Fisher's exact test. The operating time was the same in both groups: 220 vs 200 min in the obese and non-obese groups, respectively (P=0.232). The median follow-up was 12 months in both non-obese and obese patients. Overall anatomic repair rate was 94.1% and 97.4% for obese and non-obese patients, respectively (P=0.95). The overall reoperation rate (including surgery for de novo urinary-stress incontinence) was 5.9% for obese vs 11.5% for non-obese patients (P=0.8). These findings suggest that RALSCP is a viable option for obese women. The complication rates and outcomes for obese women were similar to those for non-obese women.

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“…Patients filled in the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) preoperatively and at the postoperative follow-up visits. The severity of urinary incontinence was classified by ICIQ-SF: slight (1)(2)(3)(4)(5), moderate (6)(7)(8)(9)(10)(11)(12), severe (13)(14)(15)(16)(17)(18), and very severe (19)(20)(21). Patient satisfaction was assessed using a visual analog scale.…”

Section: Methodsmentioning

confidence: 99%