Effects of Obesity on Peri- and Postoperative Outcomes in Patients Undergoing Robotic versus Conventional Hysterectomy

Study ObjectiveTo assess if women with obesity have increased complication rates compared normal weight undergoing hysterectomy for benign reasons and the mode of affects outcomes.DesignCohort study.SettingProspectively collected data from 3 Swedish population-based registers.PatientsWomen a total indications in Sweden between January 1, 2015, December 31, 2017. The patients were grouped according to World Health Organization's classification obesity.InterventionsIntraoperative postoperative retrieved surgical register up 1 year after hysterectomy. Different modes compared, such as open abdominal (AH), traditional laparoscopic (TLH), vaginal (VH), robot-assisted (RTLH).Measurements Main ResultsOut 12,386 who had during study period, we identified 2787 1535 (body mass index ≥30). One hysterectomy, frequency complications was higher than (adjusted odds ratio [aOR]) 1.4; 95% confidence interval [CI], 1.1–1.8). In obesity, AH associated overall rate (aOR 1.8; CI, 1.2–2.6) VH slightly risk intraoperative 4.4; 1.2–15.8), both comparison RTLH. Women conversion conventional minimally invasive (TLH: aOR 28.2; 6.4–124.7 VH: 17.1; 3.5–83.8, respectively) AH, TLH, blood loss >500 mL RTLH 11.8; 3.4–40.5; 8.5; 2.5–29.5; 5.8; 1.5–22.8, obesity.ConclusionThe use may lower bleeding are obese other