Obese patients are no more likely to have post-operative complications than those of average weight when undergoing robotic surgery to remove uterine fibroids, according to a study at Henry Ford Hospital.
“Performing laparoscopic myomectomy on an obese patient can present difficulties for the most experienced gynecologic surgeon,” says David Eisenstein, M.D., division head, Minimally Invasive Gynecologic Surgery, at Henry Ford Health System in Detroit, and co-author of the study. “However, this challenge can now be overcome with the assistance of surgical robots that provide the surgeon with three-dimensional images, improved instrument dexterity and better precision.” In the U.S., the percentage of adults who are obese, defined as a body mass index (BMI) of more than 30, doubled from 1980 to 2000. Since 1991, the number of obese adults has increased by 74 percent, with nearly 23 million being women.
The study followed 77 patients who underwent robot-assisted laparoscopic myomectomy from January 2005 through November 2008 at Henry Ford Hospital in Detroit. Patients involved in the study had overall similar demographics. Thirty-two of the patients (more than 40 percent) had a BMI of more than 30. The study evaluated the impact of BMI on procedure time, estimated blood loss and length of post-operative hospital stay.
Reference: Analysis of the Impact of Body Mass Index on the Surgical Outcomes After Robot-Assisted Laparoscopic Myomectomy AAGL 2009.