The analysis of the clinical results of total laparoscopic hysterectomy according to body mass index

Park, Jung Woo; Hur, Yoon Seok; Kim, Jee Yeon; Jeong, Hyun Jae; Park, Jee Hyun; Hwang, Sung Ook; Song, Eun Seop; Im, Moon Whan; Lee, Byoung Ick; Lee, Woo Young

Abstract

OBJECTIVE
To know impacts of BMI on clinical results of total laparoscopic hysterectomy (TLH).
METHODS
We reviewed medical records of patients with myoma uteri who undergone TLH between March 2003 and February 2007, retrospectively. We classified group 1 when BMI was <23 kg/m2, group 2 when BMI was between 23 and 28, and group 3 when BMI was > or =28. We reviewed age, parity, body weight and height, operation time, amount of blood loss, change of hemoglobin change and days of hospital stay, and analyze these.
RESULTS
There were 83 patients (Group 1; 30, Group 2; 40, Group 3; 13). The body weight distributions of Group 1, 2, and 3 were 52.2, 60.9, and 72.0 kg and there were significant differences. But there was no difference of height distributions. The age distributions were 44.3, 47.0, 43.8 year old, and there were differences. But there was no difference of parity distribution. The weight distribution of removed uterus were 250.5, 257.4, 242.7 gm and there was no difference. The operation time distributions were 155.0, 168.2, 160.8 minutes, and there was no difference. The amount distributions of bleeding were 342.7, 356.5, 396.2 ml, and there was no difference. The change distributions of hemoglobin were 2.1, 1.8, 2.2 g/dL, and there was no difference. The day distributions of hospital stay were 5.2, 5.5, 4.8, and there was no difference.
CONCLUSION
We could not find any trend between operation time, amount of bleeding, change of hemoglobin, and days of postoperative hospital stay after TLH with BMI.