Previous Abdominal Surgery and Obesity Does Not Affect Unfavorably the Outcome of Total Laparoscopic Hysterectomy

Study Overview
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Brief Summary
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Previous surgery and obesity has disputed as an unfavorable factor during Total Laparoscopic Hysterectomy. The aim of the investigator's study was to assess the effects of previous abdominal surgery and obesity on intra-operative and post-operative outcomes of TLH.

Detailed Description
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Abstract: Objective: To assess the effects of previous abdominal surgery and obesity on the intra-operative and post-operative outcomes of total laparoscopic hysterectomy (TLH). Method: In this retrospective cohort study, women who underwent TLH for benign conditions between January 2011 and December 2016 in tertiary academic center were included. Patients were grouped according to previous abdominal surgery. The study group consisted of patients who had at least one previous abdominal surgery and the control group consisted of patients with no previous abdominal surgery. In a further analysis, a subgroup of obese patients with BMI (body mass index) ≥30 kg/m2 was evaluated. For this analysis, the obese patients who underwent TLH were picked up and the results were compared to the results of obese patients who underwent total abdominal hysterectomy (TAH) during the same time period. The main outcome parameters were duration of hospital stay and major complication rate.

Official Title
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Previous Abdominal Surgery and Obesity Does Not Affect Unfavorably the Outcome of Total Laparoscopic Hysterectomy

Conditions
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Laparoscopic Surgical Procedure, Obesity, Surgery--Complications

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: all women who underwent TLH for benign conditions during study period all obese ≥30 kg/m2 women who underwent TAH for benign conditions during study period Exclusion Criteria: No

Ages Eligible for Study
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Minimum Age: 35 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Previous abdominal surgery group<br>Previous abdominal surgery group underwent total laparoscopic hysterectomy | |
| No previous abdominal surgery group<br>No Previous abdominal surgery group underwent total laparoscopic hysterectomy | |
| Obese patients underwent TAH<br>BMI≥30 kg/m2 | |
| Obese patients underwent TLH<br>BMI≥30 kg/m2 | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Complication rate | Evaluate the complication number between groups | Up to one week | 
| Hospital stay difference | Evaluate the difference of hospitalization day between groups | Up to one week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Complication, Previous surgery, Total laparoscopic hysterectomy, Obesity