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Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
364
Obesity and vaginal hysterectomy
1Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota.
The Journal of Reproductive Medicine
|October 1, 1990
Summary
Obesity did not significantly complicate vaginal hysterectomies. This study found the vaginal approach is suitable for obese women, with minimal increases in complications or hospital stay.
Area of Science:
- Gynecology
- Surgical Outcomes
- Obesity Research
Background:
- Vaginal hysterectomy is a common gynecological procedure.
- The impact of patient obesity on surgical outcomes requires further investigation.
Purpose of the Study:
- To evaluate the safety and feasibility of vaginal hysterectomy in obese patients.
- To compare surgical outcomes across different weight categories.
Main Methods:
- Retrospective analysis of 471 consecutive vaginal hysterectomies.
- Patients categorized into three overweight groups: normal to 9% overweight, 10-24% overweight, and ≥25% overweight.
- Comparison of surgical difficulties, febrile morbidity, hospital stay, and hemoglobin levels.
Main Results:
- Surgical difficulties were comparable across all weight groups.
- Obese patients experienced a slightly higher incidence of febrile morbidity.
- Obese patients had a marginally longer hospital stay and minimal increase in postoperative hemoglobin loss.
Conclusions:
- Obesity itself presented few intraoperative or postoperative complications during vaginal hysterectomy.
- The vaginal approach is a recommended surgical option for hysterectomy in obese women.
