Comparison of functional outcomes after robot-assisted laparoscopic sacrocolpopexy in women with a BMI below and above 30

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The aim of this study was to assess the impact of body-mass index on robot-assisted laparoscopic sacrocolpopexy (RALSCP). A retrospective study was conducted on women who underwent a RALSCP. Data were collected prospectively from 17 obese and 78 non-obese patients treated between January 2008 and January 2013. Obesity was defined as a body-mass index (BMI) of ≥30 kg/m2. Relationships with outcome analysed using Mann– Whitney U-test and Fisher’s exact test. The operating time was the same in both groups: 220 vs 200 min in the obese and non-obese groups, respectively (P=0.232). The median follow-up was 12 months in both non-obese and obese patients. Overall anatomic repair rate was 94.1% and 97.4% for obese and non-obese patients, respectively (P=0.95). The overall reoperation rate (including surgery for de novo urinary-stress incontinence) was 5.9% for obese vs 11.5% for non-obese patients (P=0.8). These findings suggest that RALSCP is a viable option for obese women. The complication rates and outcomes for obese women were similar to those for non-obese women.

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Qiao Wen, Zhiwei Zhao, Jirui Wen, Yanlin Yang, Ling Wang, Jiang Wu, Yali Miao (2021)
Impact of obesity on operative complications and outcome after sacrocolpopexy: A systematic review and meta-analysis. European Journal of Obstetrics & Gynecology and Reproductive Biology, 258, 309.
10.1016/j.ejogrb.2021.01.032

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Thubert, T., Dabi, Y., Boudy, A. S., Joubert, M., Vaessen, C., Chartier-Kastler, E., … Rouprêt, M. (2017). Comparison of functional outcomes after robot-assisted laparoscopic sacrocolpopexy in women with a BMI below and above 30. Urogynaecologia, 30(1). https://doi.org/10.4081/uij.2017.178

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