What Is the Effect of Body Mass Index on Subjective Outcome Following Vaginal Hysterectomy for Prolapse?

Abstract

Pelvic organ prolapse (POP) is a common condition for which the estimated lifetime risk of undergoing surgery is 12.6% [1]. Despite the global rise in the prevalence of obesity, defined as body mass index (BMI) greater than or equal to 30 kg/m 2 , little

The Influence of Obesity on Non-Descent Vaginal Hysterectomy (NDVH): A Retrospective Comparison of Obese and Non-Obese Women Undergoing NDVH

“…The results from our cohort demonstrate that obesity didn't impact the main clinically valuable outcomes in women undergoing NDVH for benign indications including conversion rate to TAH, unintended organ damage, need for blood transfusion and major VTE sequels, however less clinically important ancillary outcomes were noticed to be statistically significant as longer operative room time, longer operative time, more estimated operative loss, longer postoperative hospital stay, more incidence of DVT, more need for analgesia, and more need for postoperative anticoagulant. Similar results were reported in literature comparing obese to non-obese underwent VH with prolapse [15] or without either as a retrospective studies executed by Harmanli et al [7] , Chen et al [16] , Sheth [17] or as a prospective studies executed by Rafii et al [18] , Locher et al [19] or evaluating the impact of obesity on different routes of hysterectomy in obese and morbid obese alone as studies executed by Schmitt et al [20] , Bogani et al [21] , or in women with different BMI categories for all routs as studies executed by Brezina et al [6] , Le Neveu et al, [8] , Shah et al [9] , Cybulsky et al [11] , Muffly and Kow [22] , or two routs including vaginal as studies executed by Housmans et al [2] , Lee et al [3] , Sandberg et al [4] or add a modification to vaginal route as studies executed by Tierney et al [23] , Bouchez et al [24] .…”