Total Laparoscopic Hysterectomy in Obese and Morbidly Obese XXXX .

@entity1 @entity190 @entity28
BACKGROUND: The study aimed at estimating the effect of body mass index (BMI), used to classify @entity28 , @entity28 , and morbidly @entity28 @entity1 , on clinical outcomes in total laparoscopic hysterectomy (TLH) cases. METHODS: This retrospective cohort study included 153 @entity1 who underwent TLH for benign, premalignant, or malignant conditions between August 2010 and June 2013. @entity1 were divided into 3 groups according to BMI, and the following variables were analyzed: operation time, conversion rate, @entity190 , total complications, and length of hospital stay. RESULTS: The mean BMI was 33.5 kg/m(2) (range, 22-61). Forty-four @entity1 were @entity28 (BMI <30), 73 were @entity28 (30 <= BMI <40), and 36 were morbidly @entity28 (BMI >= 40). In 138 @entity1 (90.2%), hysterectomy was performed using an endoscopic technique. The rate of conversion to laparotomy (9.8%; 95% confidence interval (CI), 5.1-14.5), @entity190 (70.5 ml; range, 10-700), total complications (5.9%), and length of hospital stay (2.9 d; range, 1-8) did not vary according to BMI. Operation time was longer in @entity28 (p = 0.003) and morbidly @entity28 (0.002) @entity1 than in @entity28 @entity1 . CONCLUSION: TLH could be considered a safe and feasible alternative to abdominal hysterectomy in @entity28 and morbidly @entity28 @entity1 .    2015 S. Karger AG, Basel.
