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Impact of Obesity on Robotic-Assisted Sacrocolpopexy
Authors:Lindsay M Kissane  Rose Calixte  Bogdan Grigorescu  Peter Finamore  Anthony Vintzileos
Institution:1. Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama;2. Department of Biostatistics, Winthrop University Hospital, Mineola, New York;3. Division of Urogynecology, Department of Obstetrics and Gynecology, Winthrop University Hospital, Mineola, New York;4. Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Winthrop University Hospital, Mineola, New York;5. Division of Urogynecology, Department of Obstetrics and Gynecology, Northwell Health, Long Island, New York
Abstract:

Study Objective

To compare operative time in women stratified by body mass index (BMI) undergoing robotic-assisted sacrocolpopexy (RASC). Secondary objectives included characterizing perioperative characteristics and reoperation rates.

Design

Retrospective cohort study (Canadian Task Force classification II-2).

Setting

University-affiliated teaching hospital.

Patients

One hundred seventy-nine consecutive patients who underwent RASC by a single surgeon from 2009 through 2013.

Interventions

RASC.

Measurements and Main Results

Of 179 patients, 61 (34%) were normal weight (BMI < 25 kg/m2), 72 (40%) were overweight (BMI 25–30 kg/m2), and 46 (26%) were obese (BMI ≥ 30 kg/m2). Overweight patients were significantly older, more parous, more frequently postmenopausal, and more frequently underwent concomitant salpingo-oophorectomy. Median operative times were 202, 206, and 216 minutes in the normal-weight, overweight, and obese groups, respectively (p = .53).

Conclusion

Obese women undergoing RASC have similar operative time and procedural characteristics as normal-weight and overweight patients. Longer term outcomes are needed to ensure comparable surgical and anatomic success.
Keywords:Obesity  Operative time  Outcomes  Pelvic organ prolapse  Robotic  Sacrocolpopexy
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