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Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,877
Mariña NAVEIRO-FUENTES, Antonio RODRÍGUEZ-OLIVER, María T. MAROTO-MARTÍN, Aida GONZÁLEZ-PAREDES, María T. AGUILAR-ROMERO, Juan MOZAS-MORENO
Department of Gynecology and Obstetrics, Virgen de las Nieves Universitary Hospital, Avda Fuerzas Armadas, Granada, Spain
BACKGROUND: To describe the trends in surgical routes in obese women who underwent hysterectomy for benign disease at our center and compare complications in different groups.
METHODS: Retrospective study done between 2011 and 2015 in women with a body mass index ≥30 who underwent hysterectomy for benign disease at Virgen de las Nieves Universitary Hospital in Granada, Spain. We studied three groups based on the surgical route chosen for hysterectomy: vaginal, abdominal or laparoscopic. The rates of intraoperative and postoperative complications, major complications, reintervention and days of hospital stay were compared.
RESULTS: Abdominal hysterectomy was associated with the highest risk of postoperative complications and the longest hospital stay. Laparoscopic hysterectomy had a higher risk than vaginal hysterectomy of major complications. There were no significant differences between groups for any of the other variables.
CONCLUSIONS: In obese women vaginal hysterectomy was associated with the lowest morbidity, and should be the approach of choice whenever feasible.