Hysterectomy in morbidly obese women: a retrospective comparative analysis of routes vaginal versus abdominal in Benha University hospital
Elmantwe, A., Negm, A., Edris, Y. (2024). Hysterectomy in morbidly obese women: a retrospective comparative analysis of routes vaginal versus abdominal in Benha University hospital. EKB Journal Management System, 41(4), 76-88. doi: 10.21608/bmfj.2023.230952.1880
Ashraf Elmantwe; Aziza Ali Negm; Yehia Mohamed Samir Edris. "Hysterectomy in morbidly obese women: a retrospective comparative analysis of routes vaginal versus abdominal in Benha University hospital". EKB Journal Management System, 41, 4, 2024, 76-88. doi: 10.21608/bmfj.2023.230952.1880
Elmantwe, A., Negm, A., Edris, Y. (2024). 'Hysterectomy in morbidly obese women: a retrospective comparative analysis of routes vaginal versus abdominal in Benha University hospital', EKB Journal Management System, 41(4), pp. 76-88. doi: 10.21608/bmfj.2023.230952.1880
Elmantwe, A., Negm, A., Edris, Y. Hysterectomy in morbidly obese women: a retrospective comparative analysis of routes vaginal versus abdominal in Benha University hospital. EKB Journal Management System, 2024; 41(4): 76-88. doi: 10.21608/bmfj.2023.230952.1880

Hysterectomy in morbidly obese women: a retrospective comparative analysis of routes vaginal versus abdominal in Benha University hospital

Benha Medical Journal
Article 8, Volume 41, Issue 4, July and August 2024, Page 76-88  XML PDF (523.26 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2023.230952.1880
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Authors
Ashraf Elmantwe1; Aziza Ali Negm2; Yehia Mohamed Samir Edris email 3
1Assistant professor of Obstetrics and Gynecology Department, Benha University Hospital, Benha University Egypt
2Lecturer of Obstetrics and Gynecology Department, Benha University Hospital, Benha University Egypt
3Department of Gynaecology & Obst- Facukty of Medicine- Benha University
Abstract
Objective: To compare perioperative surgical, medical, and financial outcomes in morbidly obese women with body mass index (BMI) ≥ 40 kg/m2 who underwent non-descent vaginal hysterectomy (NDVH) compared to total abdominal hysterectomy (TAH) for non-prolapse indications.
Patients and methods: A retrospective observational cohort analysis included 117 morbidly obese women who underwent hysterectomies performed between January 2015 and March 2023 in Benha university hospital comparing the outcomes between NDVH and TAH. The NDVH group (index group) included 55 morbidly obese women who underwent total vaginal hysterectomy (TVH) for non-prolapse indications. The TAH group (control group) included 62 morbidly obese women who underwent total abdominal hysterectomy for non-prolapse indications. Both groups were compared as regards pre-, intra-, and post-operative demographic, clinical characteristics, total costs and complications.
Results: Both NDVH and TAH groups participants had statistically indifferent pre-operative mean hemoglobin levels, age, parity, associated comorbidities, previous pelvic and abdominal surgery involving cesarean sections, and comparable indications for hysterectomy(p>0.05), but statistically higher BMI (51.6 kg/m2 in NDVH vs 46.3 kg/m2 in TAH, P=0.0001), HBA1c preoperative serum level
Keywords
non-descent vaginal hysterectomy; vaginal hysterectomy; morbidly obese
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