Abstract

CASTANEDA, Juan D et al. The association between body mass index and perioperative and postoperative outcomes in patients undergoing total laparoscopic hysterectomy: Medellin, Colombia 2002-2008. Rev Colomb Obstet Ginecol [online]. 2010, vol.61, n.2, pp.108-112. ISSN 0034-7434.

Objectives: evaluating the possible association between body mass index (BMI) and peri-and post-operative results in patients undergoing total laparoscopic hysterectomy (TLH). Methodology: a historical cohort of patients was taken over a 5-year period; they had undergone TLH in a referral centre for gynaecological laparoscopy. All patients who had undergone TLH and about whom complete information was available were included. Patients were divided into three groups according to body mass as follows: BMI below 24.9 kg/m²: “normal” (n = 339), BMI 25 -29.9 kg/m²: “overweight” (n = 243) and BMI greater than 30 kg/m²: “obese” (n = 94). Surgical time, complications, blood loss, transfusion requirement, laparoconversion rate and length of hospital stay were compared. ANOVA was used for comparing the three groups. Results: 676 patients met the study requirements. No significant differences regarding blood loss, operating time, hospital stay, complication rate or laparoconversion were found. Conclusion: no association was found between BMI and poor results during peri-and postoperative periods.

Keywords : total laparoscopic hysterectomy; body mass index; laparoscopy; complications; surgical time; hospital stay.

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