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Impact of Obesity on Robotic-Assisted Sacrocolpopexy
Lindsay M Kissane1, Rose Calixte2, Bogdan Grigorescu3
1Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama.
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.
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