Background: High body mass index (BMI) ≥ 30 kg/m2
is associated with non-optimal perioperative consequences in
women undergoing hysterectomy and is deemed a contraindication for non-descent vaginal hysterectomy (NDVH) by
utmost gynecologic surgeons, is this contraindication authentic or assumed?
Objective: To estimate the influence of BMI on perioperative outcomes in patients who underwent NDVH for nonmalignant uterine disorders.
Patients and Methods: This retrospective cohort involves 843 patients; 413 patients were non-obese (BMI < 30 kg/m2
)
and 430 patients were obese (BMI ≥ 30 kg/m2
).
Results: BMI differed significantly between groups (27.4±6.7 vs. 38.6±11.6, P= 0.0001). Both groups also differed
regarding age, parity, preoperative medical comorbidity including hypertension and diabetes mellites, American Society
of Anesthesiologists physical status, and endometrial hyperplasia incidence (P |
