Comparison of complications in very obese women undergoing hysterectomy - Abdominal vs laparoscopic approach with short- and long-term follow-up

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023698%3A_____%2F22%3AN0000024" target="_blank" >RIV/00023698:_____/22:N0000024 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00843989:_____/22:E0109644 RIV/00064173:_____/22:43923744 RIV/00064165:_____/22:10445538 RIV/00216208:11110/22:10445538 a 3 dalších

Výsledek na webu

<a href="https://www.sciencedirect.com/science/article/abs/pii/S0301211522004183" target="_blank" >https://www.sciencedirect.com/science/article/abs/pii/S0301211522004183</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.ejogrb.2022.07.005" target="_blank" >10.1016/j.ejogrb.2022.07.005</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Comparison of complications in very obese women undergoing hysterectomy - Abdominal vs laparoscopic approach with short- and long-term follow-up

Popis výsledku v původním jazyce

Background: Surgical treatment of obese female patients represents a real challenge. Over the last decade, minimally invasive techniques for hysterectomy have emerged. These approaches reduce the invasiveness of standard surgical procedures while maintaining efficacy and feasibility. Objective: To evaluate the rates of perioperative, early, mid-term and late postoperative complications in very obese [body mass index (BMI) >= 35 and < 40 kg/m(2)] and severely obese (BMI >= 40 kg/m(2)) women who underwent total (non-radical) hysterectomy. Design: A prospective comparative multi-centre non-randomized study. Methods: In total, 328 consecutive total (non-radical) hysterectomies were performed at seven teaching gynaecological centres. Of these, 153 (46.6%) were performed using an open laparotomy (LT) approach and 175 (53.4%) were performed laparoscopically (LS). All data were collected by medical specialists at the pre-operative examination prior to surgery, during surgery and three times postoperatively (during hospital stay, at 6-week follow-up and 6 months following surgery). Another analysis considered a total of 206 women who underwent laparoscopic hysterectomy. The subjects were divided according to BMI into 120 very obese women (BMI >= 35 and < 40 kg/m(2)) and 86 severely obese women (BMI >= 40 kg/m(2)). Results: The total number of composite perioperative complications was significantly lower in the LS group (p = 0.006). Composite complications occurred significantly more often in patients in the LT group compared with the LS group in the early (p < 0.001) and mid-term (p < 0.001) postoperative periods. In the late postoperative period, the total number of composite postoperative complications did not differ significantly between the groups (p < 0.396). Among 206 patients who underwent laparoscopic hysterectomy, the number of complications was generally low; the rates of composite perioperative (p = 0.393), early (p = 0.642), mid-term (p = 0.738) and late (p = 1) postoperative complications were generally low; and frequency did not differ significantly with BMI. Conclusion: The LS approach does not increase intra-operative morbidity associated with surgery, and has significantly better outcomes in terms of the postoperative complication rate.

Název v anglickém jazyce

Comparison of complications in very obese women undergoing hysterectomy - Abdominal vs laparoscopic approach with short- and long-term follow-up

Popis výsledku anglicky

Background: Surgical treatment of obese female patients represents a real challenge. Over the last decade, minimally invasive techniques for hysterectomy have emerged. These approaches reduce the invasiveness of standard surgical procedures while maintaining efficacy and feasibility. Objective: To evaluate the rates of perioperative, early, mid-term and late postoperative complications in very obese [body mass index (BMI) >= 35 and < 40 kg/m(2)] and severely obese (BMI >= 40 kg/m(2)) women who underwent total (non-radical) hysterectomy. Design: A prospective comparative multi-centre non-randomized study. Methods: In total, 328 consecutive total (non-radical) hysterectomies were performed at seven teaching gynaecological centres. Of these, 153 (46.6%) were performed using an open laparotomy (LT) approach and 175 (53.4%) were performed laparoscopically (LS). All data were collected by medical specialists at the pre-operative examination prior to surgery, during surgery and three times postoperatively (during hospital stay, at 6-week follow-up and 6 months following surgery). Another analysis considered a total of 206 women who underwent laparoscopic hysterectomy. The subjects were divided according to BMI into 120 very obese women (BMI >= 35 and < 40 kg/m(2)) and 86 severely obese women (BMI >= 40 kg/m(2)). Results: The total number of composite perioperative complications was significantly lower in the LS group (p = 0.006). Composite complications occurred significantly more often in patients in the LT group compared with the LS group in the early (p < 0.001) and mid-term (p < 0.001) postoperative periods. In the late postoperative period, the total number of composite postoperative complications did not differ significantly between the groups (p < 0.396). Among 206 patients who underwent laparoscopic hysterectomy, the number of complications was generally low; the rates of composite perioperative (p = 0.393), early (p = 0.642), mid-term (p = 0.738) and late (p = 1) postoperative complications were generally low; and frequency did not differ significantly with BMI. Conclusion: The LS approach does not increase intra-operative morbidity associated with surgery, and has significantly better outcomes in terms of the postoperative complication rate.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30214 - Obstetrics and gynaecology

Projekt

<a href="/cs/project/NV17-32030A" target="_blank" >NV17-32030A: Predikce odpovědi na systémovou léčbu u high-grade serózního karcinomu vaječníků – využití modelu BRCA1/2 pozitivních a negativních nádorů</a><br>

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2022

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY

ISSN

0301-2115

e-ISSN

1872-7654

Svazek periodika

276

Číslo periodika v rámci svazku

SEP 2022

Stát vydavatele periodika

NL - Nizozemsko

Počet stran výsledku

6

Strana od-do

148-153

Kód UT WoS článku

000922631500014

EID výsledku v databázi Scopus

2-s2.0-85135014279