An epidemiological study on complications of total laparoscopic hysterectomy in obese vs. non-obese patients at tertiary care centre

Shyamkumar S. Sirsam; Madhuri Dhakne; Manthan M. Shah; Bhupendra V. Patil

doi:10.18203/2320-1770.ijrcog20254297

Authors

Shyamkumar S. Sirsam Department of Obstetrics and Gynecology, Government Medical College, Akola, Maharashtra, India
Madhuri Dhakne Department of Obstetrics and Gynecology, Government Medical College, Akola, Maharashtra, India
Manthan M. Shah Department of Obstetrics and Gynecology, Government Medical College, Akola, Maharashtra, India
Bhupendra V. Patil Department of Obstetrics and Gynecology, Government Medical College, Akola, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20254297

Keywords:

Intraoperative complications, Obesity, Postoperative infection, Total laparoscopic hysterectomy

Abstract

Background: Total Laparoscopic Hysterectomy (TLH) is now the preferred approach for benign gynecological conditions due to reduced morbidity and faster recovery. However, obesity remains a challenge influencing surgical outcomes and complication rates. This study aimed to compare intraoperative and postoperative complications of TLH in obese versus non-obese women.

Methods: A comparative observational study was conducted at the Department of Obstetrics and Gynaecology, Government Medical College, Akola, Maharashtra, a tertiary care centre, including 146 women undergoing TLH. Participants were divided into obese (BMI ≥30 kg/m²; n=82) and non-obese (BMI <30 kg/m²; n=64) groups. Intraoperative and postoperative parameters, including blood loss, complications, operative time, and hospital stay, were recorded and analysed using the chi-square test and t-tests.

Results: The mean age of participants was 49.8±11.7 years. Obese patients had significantly higher intraoperative blood loss (306.0±20.4 mL vs 270.8±45.4 mL; p<0.001). Mean operative duration (117.8 vs 113.3 minutes; p=0.167) and hospital stay (2.6 vs 2.5 days; p=0.477) did not differ significantly. Most surgeries (83%) were completed without complications. Bleeding (8%) and conversion to laparotomy (5%) were the common intraoperative events. Postoperative vault infections (9% vs 2%; p=0.032) and port-site infections (4% vs 0%; p=0.022) were more frequent among obese women.

Conclusions: TLH can be safely performed in obese women with outcomes comparable to non-obese patients. Although obese women had higher minor wound-related complications, major intraoperative events were not significantly different.

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