Hysterectomy in very obese and morbidly obese patients: a systematic review with cumulative analysis of comparative studies

“…Regarding early postoperative complications, wound dehiscence remains a prominent concern, as it is associated with prolonged hospital stays 22,25 . Consistent with prior research, 8,23 our study found that LRH patients experienced fewer wound complications and shorter recovery times compared to ORH patients.…”

“…Regarding early postoperative complications, wound dehiscence remains a prominent concern, as it is associated with prolonged hospital stays. 22,25 Consistent with prior research, 8,23 our study found that LRH patients experienced fewer wound complications and shorter recovery times compared to ORH patients. Although hospital stay duration is influenced by local cultural practices, institutional policies, and reimbursement systems, the median hospital stay in our LRH cohort was shorter than in the ORH group.…”

“…Numerous risk factors and clinical characteristics were associated with postsurgical Staphylococcus aureus infection. Most were consistent with prior studies, including hysterectomy route, anemia, malnutrition, diabetes, hypertension, obesity, cancer/malignancy, and long pre-operative stays/prior hospitalizations, and drug/substance abuse [5,13,14,24–27]. In our study, patients with Staphylococcus aureus infection were older than those without infection or with other infection, consistent with prior literature indicating that women older in age have an association with increased risk of SSIs, compared with younger women [28,29], and that patients with MRSA or MSSA are older than those without Staphylococcus aureus infection [13].…”

“…Even though morbid obesity was associated with a nearly 60% increased risk of perioperative complications compared with non‐obesity in the TLH group, perioperative complication rates were still lower compared with TAH (Figure 2). This supports the use of minimally invasive hysterectomy for morbidly obese women 10,11 . Indeed, our study showed that morbidly obese women were more likely to undergo TLH than were non‐obese women (Table 1).…”

“…Regarding early postoperative complications, wound dehiscence remains a prominent concern, as it is associated with prolonged hospital stays 22,25 . Consistent with prior research, 8,23 our study found that LRH patients experienced fewer wound complications and shorter recovery times compared to ORH patients.…”

“…Regarding early postoperative complications, wound dehiscence remains a prominent concern, as it is associated with prolonged hospital stays. 22,25 Consistent with prior research, 8,23 our study found that LRH patients experienced fewer wound complications and shorter recovery times compared to ORH patients. Although hospital stay duration is influenced by local cultural practices, institutional policies, and reimbursement systems, the median hospital stay in our LRH cohort was shorter than in the ORH group.…”

“…Numerous risk factors and clinical characteristics were associated with postsurgical Staphylococcus aureus infection. Most were consistent with prior studies, including hysterectomy route, anemia, malnutrition, diabetes, hypertension, obesity, cancer/malignancy, and long pre-operative stays/prior hospitalizations, and drug/substance abuse [5,13,14,24–27]. In our study, patients with Staphylococcus aureus infection were older than those without infection or with other infection, consistent with prior literature indicating that women older in age have an association with increased risk of SSIs, compared with younger women [28,29], and that patients with MRSA or MSSA are older than those without Staphylococcus aureus infection [13].…”

“…Even though morbid obesity was associated with a nearly 60% increased risk of perioperative complications compared with non‐obesity in the TLH group, perioperative complication rates were still lower compared with TAH (Figure 2). This supports the use of minimally invasive hysterectomy for morbidly obese women 10,11 . Indeed, our study showed that morbidly obese women were more likely to undergo TLH than were non‐obese women (Table 1).…”

“…Regarding early postoperative complications, wound dehiscence remains a prominent concern, as it is associated with prolonged hospital stays 22,25 . Consistent with prior research, 8,23 our study found that LRH patients experienced fewer wound complications and shorter recovery times compared to ORH patients.…”

“…Regarding early postoperative complications, wound dehiscence remains a prominent concern, as it is associated with prolonged hospital stays. 22,25 Consistent with prior research, 8,23 our study found that LRH patients experienced fewer wound complications and shorter recovery times compared to ORH patients. Although hospital stay duration is influenced by local cultural practices, institutional policies, and reimbursement systems, the median hospital stay in our LRH cohort was shorter than in the ORH group.…”

“…Numerous risk factors and clinical characteristics were associated with postsurgical Staphylococcus aureus infection. Most were consistent with prior studies, including hysterectomy route, anemia, malnutrition, diabetes, hypertension, obesity, cancer/malignancy, and long pre-operative stays/prior hospitalizations, and drug/substance abuse [5,13,14,24–27]. In our study, patients with Staphylococcus aureus infection were older than those without infection or with other infection, consistent with prior literature indicating that women older in age have an association with increased risk of SSIs, compared with younger women [28,29], and that patients with MRSA or MSSA are older than those without Staphylococcus aureus infection [13].…”

“…Even though morbid obesity was associated with a nearly 60% increased risk of perioperative complications compared with non‐obesity in the TLH group, perioperative complication rates were still lower compared with TAH (Figure 2). This supports the use of minimally invasive hysterectomy for morbidly obese women 10,11 . Indeed, our study showed that morbidly obese women were more likely to undergo TLH than were non‐obese women (Table 1).…”