The influence of body mass index on the prevalence of complications after hysterectomy: A comparison of prognosis of hysterectomy related to body mass index / 대한산부인과학회지

ABSTRACT

OBJECTIVE: To investigate the association between obesity and peri- or postoperative outcome after abdominal or vaginal hysterectomies for benign gynecologic disorder. METHODS: We retrospectively reviewed the charts of all women who underwent abdominal or vaginal hysterectomy for benign gynecologic disorders in Kangnam Sacred Heart Hospital between Jan and Dec, 2006. We analyzed the rate of operative and postoperative complications, length of hospital stay, operative time, and perioperative hemoglobin change for abdominal or vaginal hysterectomy. RESULTS: The study group consisted of 915 women, of who 643 underwent vaginal, and 272 abdominal hysterectomy. Obesity was related to longer operation time for vaginal hysterectomy only. No association was found between BMI and serious complications such as postoperative bleeding, transfusion, urinary tract injury, febrile morbidity, bowel injury, wound complication, ileus, infection. CONCLUSION: Obesity is not a contraindication of vaginal or abdominal hysterectomy. Obese patients did not experience an increased risk of serious morbidity compared to normal weight women. Hysterectomy can be successfully performed, with acceptable morbidity, in obese women.