E-Posters-10240

10240_Ackenbom

Pdf Summary

A study was conducted to examine the impact of morbid obesity on perioperative outcomes in women undergoing reconstructive pelvic organ prolapse (POP) surgery. The study found no difference in operative time, complications, or POP recurrence between morbidly obese and normal weight women. The study was considered one of the largest studies of morbidly obese women undergoing POP surgery.<br /><br />The study used a retrospective cohort design and analyzed data from an existing database of women who underwent laparoscopic or robotic sacrocolpexy or uterosacral ligament suspension between 2009 and 2015. Demographic, medical comorbidity, intraoperative, and postoperative factors were reviewed.<br /><br />The results showed that there was no significant difference in operative time between morbidly obese and normal weight women. Complications trended higher in morbidly obese women on univariable regression but were no longer significant after adjusting for concomitant hysterectomy, prolapse repair, and history of cardiac disease.<br /><br />The study found that morbidly obese women had a POP recurrence rate of 19.0% with a documented postoperative Pelvic Organ Prolapse Quantification (POPQ) exam. There was an increased risk of POP recurrence in morbidly obese women on univariable regression, but this was no longer statistically significant after adjusting for diabetes and mesh complications.<br /><br />The study acknowledges that it may be underpowered to detect differences in outcomes due to the small number of morbidly obese women included. Longer follow-up is also needed to confirm POP recurrence rates.<br /><br />In conclusion, this study found no significant differences in operative time, complications, or POP recurrence between morbidly obese and normal weight women undergoing POP surgery. However, the study recognizes the need for larger studies and longer follow-up to better understand the impact of morbid obesity on these outcomes.

Keywords

morbid obesity

perioperative outcomes

reconstructive pelvic organ prolapse surgery

operative time

complications

POP recurrence

retrospective cohort design

laparoscopic

robotic sacrocolpexy

database