Total laparoscopic hysterectomy: impact of body mass index on outcomes

Detalhes bibliográficos
Autor(a) principal: Osório, Filipa
Data de Publicação: 2015
Outros Autores: Silva, Cristina Nogueira, Barata, Sónia, Alho, Conceição, Jorge, Carlos Calhaz
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/1822/40217
Resumo: Total laparoscopic hysterectomy: impact of body mass index on outcomes
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spelling Total laparoscopic hysterectomy: impact of body mass index on outcomesImpacto do índice de massa corporal na histerectomia totalmente laparoscópicaBody mass indexComplicationsHysterectomyLaparoscopyObesityTotal laparoscopic hysterectomy: impact of body mass index on outcomesOverviewand aims: Hysterectomy is one of the most common gynecological surgical procedures and several studies have demonstrated the multiple advantages of laparoscopic approach in general. Obesity was initially considered to be a contraindication for laparoscopy. However, this historical perspective has been disputed. The aim of this study was to assess the effect of the body mass index (BMI) on intra-operative parameters and intra and post-operative complication rates of total laparoscopic hysterectomy (TLH). Study design: A retrospective, observational, descriptive and analytic study. Population: AllTLH performed in our department, by the same surgical team, between April 2009 and March 2014,were evaluated. Methods:Medicalrecordswere reviewed for patient characteristics(BMI, age, medical and surgical history),surgical characteristics (surgical indication and concomitant procedure, uterine weight, operating time, post-operative hemoglobin variation, length of hospitalstay), and intra and post-operative complications.The datawere analyzed according to patients’BMI. Results: The study population was divided in normal BMI (n=145), overweight (n=119) and obese (n=54). Obese patients were older, more frequently postmenopausal and with more medical pathology than normal BMI patients.More than 50% of the patients had history of at least one previous abdominopelvic surgery with no differences among the groups. No significant differences were found in terms of uterine weight (217.7 ± 154.8 vs. 257.5 ± 176.1 vs. 225.4 ± 151.0 g; p> 0.05), post-operative hospital stay (1.6 ± 0.9 vs. 1.5 ± 1.0 vs. 1.5 ± 0.9 days; p> 0.05), operating time (72.2 ± 25.3 vs.77.5 ± 25.8 vs. 83.6 ± 35.3 minutes; p> 0.05) or complication rates (12.4% vs. 14.3% vs. 13.0%). Conclusions: This study demonstrates that, in qualified hands, obesity did not increase the operating time and the intra or post-operative complication rates associated with TLH. Thus, high BMI should not be considered a contraindication for this procedureUniversidade do MinhoOsório, FilipaSilva, Cristina NogueiraBarata, SóniaAlho, ConceiçãoJorge, Carlos Calhaz20152015-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/40217por1646-5830http://www.fspog.com/pt/acta-obstetrica-e-ginecologica-portuguesa/info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:45:33Zoai:repositorium.sdum.uminho.pt:1822/40217Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T19:43:25.212449Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Total laparoscopic hysterectomy: impact of body mass index on outcomes
Impacto do índice de massa corporal na histerectomia totalmente laparoscópica
title Total laparoscopic hysterectomy: impact of body mass index on outcomes
spellingShingle Total laparoscopic hysterectomy: impact of body mass index on outcomes
Osório, Filipa
Body mass index
Complications
Hysterectomy
Laparoscopy
Obesity
title_short Total laparoscopic hysterectomy: impact of body mass index on outcomes
title_full Total laparoscopic hysterectomy: impact of body mass index on outcomes
title_fullStr Total laparoscopic hysterectomy: impact of body mass index on outcomes
title_full_unstemmed Total laparoscopic hysterectomy: impact of body mass index on outcomes
title_sort Total laparoscopic hysterectomy: impact of body mass index on outcomes
author Osório, Filipa
author_facet Osório, Filipa
Silva, Cristina Nogueira
Barata, Sónia
Alho, Conceição
Jorge, Carlos Calhaz
author_role author
author2 Silva, Cristina Nogueira
Barata, Sónia
Alho, Conceição
Jorge, Carlos Calhaz
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universidade do Minho
dc.contributor.author.fl_str_mv Osório, Filipa
Silva, Cristina Nogueira
Barata, Sónia
Alho, Conceição
Jorge, Carlos Calhaz
dc.subject.por.fl_str_mv Body mass index
Complications
Hysterectomy
Laparoscopy
Obesity
topic Body mass index
Complications
Hysterectomy
Laparoscopy
Obesity
description Total laparoscopic hysterectomy: impact of body mass index on outcomes
publishDate 2015
dc.date.none.fl_str_mv 2015
2015-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/1822/40217
url http://hdl.handle.net/1822/40217
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv 1646-5830
http://www.fspog.com/pt/acta-obstetrica-e-ginecologica-portuguesa/
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eu_rights_str_mv openAccess
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instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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