Outcome of Total Laparoscopic Hysterectomy in Obese Patients
Outcome of Total Laparoscopic Hysterectomy in Obese Patients
Keywords:
Outcome, Total Laparoscopic Hysterectomy, Obese Patients, Non-obese Patients, BMIAbstract
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Introduction: Globally, obesity is a major health issue that has an impact on many facets of patient care and surgical results. Morbid obesity traditionally considered to be a contra indication to total laparoscopic hysterectomy is now evolving into an indication. Innovations and advancement in minimally intrusive. Surgical techniques have significantly improved patient morbidity and mortality rates, reduced operational costs and overall suffer surgical experience. Objective: The purpose of this study was to assess the risk of operative and post-operative complications of obese patients undergoing total laparoscopic hystertomy compared with non-obese patients. Materials and Methods: The cross-sectional observational study was conducted in the Department of Obstetrics and gynaecology, Labaid Specialized Hospital, Dhaka from January 2022 to December 2022. A total of 90 patients who underwent TLH. The patients were divided into 2 groups based on BMI, BMI < 30 kg/m2 (n=52) and BMI ≥ 30 kg/m2 (n=38). The questionnaire was pretested, corrected and finalized. Data were collected by face-to-face interview and analyzed by appropriate computer based programmed software Statistical Package for the Social Sciences (SPSS), version 24. Results: Mean age of the study subjects was 41.5±1.3 and 43.3±2.3 years in non-obese and obese group respectively. Mean BMI of the study subjects was 29.1±2.5 and 32.1±3.1 kg/m2 in non-obese and obese group respectively. The mean length of postoperative hospital stay for all subjects was 1.1 days. The mean length of stay among obese patients was 1 day compared with 1.2 days for nonobese patients. Only 6 (6.7%) study women were readmitted for postoperative complications, of whom 2 (5.3%) were obese. 5 (5.5%) patients required reoperation. Two (5.3%) of these patients were obese. Ten (11.1%) patients experienced major complications, 3 (7.8%) of which occurred in the obese group. Seven (7.8%) patients experienced minor complications, 2 (5.3%) of which occurred in the obese group. Conclusion: The majority of obese people can have a total laparoscopic hysterectomy with success, and the rate of complications is comparable to that of nonobese patients.
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