The Effect of Bariatric Surgery on Perioperative Complications After Hysterectomy

Publication date: Available online 14 December 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Julia Whitley, Kristin J. Moore, Erin T. Carey, Michelle LouieAbstractStudy ObjectiveTo compare intra-operative and 30-day post-hysterectomy outcomes between patients who had bariatric surgery before hysterectomy and patients with body mass index (BMI)>40 kg/m2 without prior bariatric surgery.DesignA retrospective cohort study.SettingA tertiary-care academic medical center.PatientsPatients with a history of bariatric surgery and patients with body mass index (BMI)>40 kg/m2 and no prior bariatric surgery undergoing any route of hysterectomy between January 1, 2000 and March 1, 2018.InterventionsAfter exclusion of patients with gynecologic malignancy and bariatric surgery reversal, 223 patients with a history of bariatric surgery were matched at a 1:2 ratio by year of hysterectomy to 446 randomly selected patients with body mass index (BMI)>40 kg/m2 and no bariatric surgery before hysterectomy. Demographics, medical comorbidities, and surgical characteristics were collected by manual chart review. Chi-square or Fisher's exact tests were used to compare the incidence of intra-operative and 30-day post-operative complications. Polytomous logistic regression was used to estimate the odds of major and minor post-operative complications. Binary logistic regression was used to estimate the odds of any intra- or post-operative complications.Measurements and Main Resul...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research

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