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Perioperative and long‐term complications among obese women undergoing vaginal surgery
Author(s) -
Nam KaHyun,
Jeon MyungJae,
Hur HyeWon,
Kim SeiKwang,
Bai SangWook
Publication year - 2010
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2009.10.019
Subject(s) - medicine , perioperative , body mass index , odds ratio , overweight , surgery , complication , blood transfusion , confidence interval , obesity , comorbidity , urinary system , risk factor
Objective To determine whether obesity influenced the risk of perioperative and long‐term complications in patients undergoing vaginal surgery. Methods Women diagnosed with pelvic organ prolapse who underwent vaginal surgery between March 1999 and May 2007 were classified into 3 groups: normal weight (body mass index [BMI, calculated as weight in kilograms divided by the square of height in meters] 18.5–23.0); overweight (BMI 23.0–27.5); and obese (BMI ≥ 27.5). Complications were subdivided into perioperative (< 1 month) and long‐term (≥ 1 month). Statistical analysis was performed using analysis of variance, χ 2 test, and logistic regression. Results Demographic information showed no differences among the groups, except for the presence of comorbidity ( P = 0.03). Blood loss and transfusion as a perioperative complication and urinary retention as a long‐term complication were significantly different among the groups: odds ratio (OR) 2.46 (95% confidence interval [CI], 1.38–4.39; P < 0.01); and OR 2.20 (95% CI, 1.21–4.03; P = 0.03), respectively. Conclusion Major complications were rare, and most were not significantly different among the groups. However, obesity was a protective factor against blood loss and transfusion, and long‐term urinary retention.