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Perioperative and long-term complications among obese women undergoing vaginal surgery

Authors
 Ka-Hyun Nam  ;  Myung-Jae Jeon  ;  Hye-Won Hur  ;  Sei-Kwang Kim  ;  Sang-Wook Bai 
Citation
 INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, Vol.108(3) : 244-246, 2010 
Journal Title
 INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS 
ISSN
 0020-7292 
Issue Date
2010
MeSH
Aged ; Female ; Humans ; Korea/epidemiology ; Middle Aged ; Obesity/complications* ; Pelvic Organ Prolapse/complications ; Pelvic Organ Prolapse/surgery* ; Postoperative Complications/epidemiology* ; Postoperative Complications/etiology ; Retrospective Studies ; Vagina/surgery
Keywords
Obesity ; Perioperative complications ; Vaginal surgery
Abstract
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 >or=27.5). Complications were subdivided into perioperative (<1 month) and long-term (>or=1 month). Statistical analysis was performed using analysis of variance, chi(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
Full Text
http://www.sciencedirect.com/science/article/pii/S002072920900616X
DOI
10.1016/j.ijgo.2009.10.019
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sei Kwang(김세광)
Nam, Ka Hyun(남가현)
Bai, Sang Wook(배상욱) ORCID logo https://orcid.org/0000-0001-7724-7552
Hur, Hye Won(허혜원)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101906
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