ArticleGynecology and minimally invasive therapy
Influences of Total Laparoscopic Hysterectomy According to Body Mass Index (Underweight, Normal Weight, Overweight, or Obese).
Article in Gynecology and minimally invasive therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Article
- Learning laparoscopic hysterectomy: analysis of different surgeons' individual learning curves.Archives of gynecology and obstetrics · 2023Article
- Article
- A retrospective study of 323 total laparoscopic hysterectomy cases for various indications and a case report treating caesarean scar pregnancy.Journal of medical case reports · 2020Article
- Weight-Loss Interventions and Levonorgestrel Intrauterine System Implantation for Early-Stage Endometrial Cancer and Atypical Endometrial Hyperplasia to Reduce Perioperative Risk of Severely Obese Patients.Gynecology and minimally invasive therapyArticle
- Vaginal Vault Closure Following Total Laparoscopic Hysterectomy: Laparoscopic versus Conventional Technique - A Comparative Study.Gynecology and minimally invasive therapyArticle
- A Gauze-tying Trocar Technique for Laparoscopic Hysterectomy Procedures Involving Large Uteri.Gynecology and minimally invasive therapyArticle
- The Strategy of Robot-assisted Hysterectomy in Patients with Morbid Obesity.Gynecology and minimally invasive therapyArticle
- Total Laparoscopic Hysterectomy of an Endocervical Pyomyoma Over Previous Cesarean Section Wound.Gynecology and minimally invasive therapyArticle
- Effects of Total Abdominal Hysterectomy and Total Laparoscopic Hysterectomy on Urinary Tract Dysfunction.Gynecology and minimally invasive therapyArticle
- Surgical Trend and Volume Effect on the Choice of Hysterectomy Benign Gynecologic Conditions.Gynecology and minimally invasive therapyReview
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectiveThe aim of this study is to evaluate the effect of body mass index (BMI) on laparoscopic hysterectomy outcomes.
designThis was retrospective study.
settingMinoh City Hospital, Japan. MATERIALS AND
methodsBetween January 1, 2014, and June 30, 2017, 183 patients underwent total laparoscopic hysterectomy (TLH) at our institution.
interventionPatients who underwent TLH were grouped according to BMI, as follows: underweight group (BMI <18.5 kg/m MEASUREMENTS AND MAIN
resultsInformation on patients' clinical characteristics and surgical results were collected retrospectively by medical record review. The severity of complications was graded according to the Clavien-Dindo classification. We assessed clinical characteristics, surgical results, and the perioperative complications in each BMI group. Surgical results included operation time, nonsurgical operating room time estimated blood loss, uterine weight, and postoperative hospital stay. Compared with the normal-weight group, the obese group had significantly more complications (
conclusionUnderweight and overweight patients had no significant differences in surgical results, compared with patients of normal weight. Obese patients had significantly longer operation times and more perioperative complications than patients with normal weight. Laparoscopic hysterectomy has burdens and risks for obese patients. Our results suggest that appropriate weight control may decrease the risk of surgery for obese patients.
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