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Impact of Obesity on Robotic-Assisted Sacrocolpopexy.
Journal of Minimally Invasive Gynecology 2017 January 2
STUDY OBJECTIVE: To compare operative time in women stratified by body mass index (BMI) undergoing robotic-assisted sacrocolpopexy (RASC). Secondary objectives included characterizing perioperative characteristics and reoperation rates.
DESIGN: Retrospective cohort study (Canadian Task Force classification II-2).
SETTING: University-affiliated teaching hospital.
PATIENTS: One hundred seventy-nine consecutive patients who underwent RASC by a single surgeon from 2009 through 2013.
INTERVENTIONS: RASC.
MEASUREMENTS AND MAIN RESULTS: Of 179 patients, 61 (34%) were normal weight (BMI < 25 kg/m2 ), 72 (40%) were overweight (BMI 25-30 kg/m2 ), and 46 (26%) were obese (BMI ≥ 30 kg/m2 ). Overweight patients were significantly older, more parous, more frequently postmenopausal, and more frequently underwent concomitant salpingo-oophorectomy. Median operative times were 202, 206, and 216 minutes in the normal-weight, overweight, and obese groups, respectively (p = .53).
CONCLUSION: Obese women undergoing RASC have similar operative time and procedural characteristics as normal-weight and overweight patients. Longer term outcomes are needed to ensure comparable surgical and anatomic success.
DESIGN: Retrospective cohort study (Canadian Task Force classification II-2).
SETTING: University-affiliated teaching hospital.
PATIENTS: One hundred seventy-nine consecutive patients who underwent RASC by a single surgeon from 2009 through 2013.
INTERVENTIONS: RASC.
MEASUREMENTS AND MAIN RESULTS: Of 179 patients, 61 (34%) were normal weight (BMI < 25 kg/m2 ), 72 (40%) were overweight (BMI 25-30 kg/m2 ), and 46 (26%) were obese (BMI ≥ 30 kg/m2 ). Overweight patients were significantly older, more parous, more frequently postmenopausal, and more frequently underwent concomitant salpingo-oophorectomy. Median operative times were 202, 206, and 216 minutes in the normal-weight, overweight, and obese groups, respectively (p = .53).
CONCLUSION: Obese women undergoing RASC have similar operative time and procedural characteristics as normal-weight and overweight patients. Longer term outcomes are needed to ensure comparable surgical and anatomic success.
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