Impact of Obesity on Robotic-Assisted Sacrocolpopexy

Lindsay M Kissane; Rose Calixte; Bogdan Grigorescu; Peter Finamore; Anthony Vintzileos

doi:10.1016/j.jmig.2016.10.012

Impact of Obesity on Robotic-Assisted Sacrocolpopexy

J Minim Invasive Gynecol. 2017 Jan 1;24(1):36-40. doi: 10.1016/j.jmig.2016.10.012. Epub 2016 Nov 1.

Authors

Lindsay M Kissane¹, Rose Calixte², Bogdan Grigorescu³, Peter Finamore⁴, Anthony Vintzileos⁵

Affiliations

¹ Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama. Electronic address: Lkissane@uabmc.edu.
² Department of Biostatistics, Winthrop University Hospital, Mineola, New York.
³ Division of Urogynecology, Department of Obstetrics and Gynecology, Winthrop University Hospital, Mineola, New York.
⁴ Division of Urogynecology, Department of Obstetrics and Gynecology, Northwell Health, Long Island, New York.
⁵ Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Winthrop University Hospital, Mineola, New York.

PMID: 27810437
DOI: 10.1016/j.jmig.2016.10.012

Abstract

Study objective: To compare operative time in women stratified by body mass index (BMI) undergoing robotic-assisted sacrocolpopexy (RASC). Secondary objectives included characterizing perioperative characteristics and reoperation rates.

Design: Retrospective cohort study (Canadian Task Force classification II-2).

Setting: University-affiliated teaching hospital.

Patients: One hundred seventy-nine consecutive patients who underwent RASC by a single surgeon from 2009 through 2013.

Interventions: RASC.

Measurements and main results: Of 179 patients, 61 (34%) were normal weight (BMI < 25 kg/m²), 72 (40%) were overweight (BMI 25-30 kg/m²), and 46 (26%) were obese (BMI ≥ 30 kg/m²). Overweight patients were significantly older, more parous, more frequently postmenopausal, and more frequently underwent concomitant salpingo-oophorectomy. Median operative times were 202, 206, and 216 minutes in the normal-weight, overweight, and obese groups, respectively (p = .53).

Conclusion: Obese women undergoing RASC have similar operative time and procedural characteristics as normal-weight and overweight patients. Longer term outcomes are needed to ensure comparable surgical and anatomic success.

Keywords: Obesity; Operative time; Outcomes; Pelvic organ prolapse; Robotic; Sacrocolpopexy.

MeSH terms

Cohort Studies
Female
Gynecologic Surgical Procedures*
Humans
Middle Aged
Obesity / complications*
Operative Time
Reoperation
Retrospective Studies
Robotic Surgical Procedures*