Table 3.
Specific complications analyzed by Body Mass Index (n=893)
| Body Mass Index | ||||||
|---|---|---|---|---|---|---|
| Variable | Total | Normal <25 | Overweight 25-<30 | Obese 30+ | P value | OR (95% CI); p Obese vs. non-obese |
| Total, row % | 893 | 341 (38.2) | 285 (31.9) | 267 (29.9) | ||
| Any complicationa | 161 (18.0) | 58 (17.0) | 39 (13.7) | 64 (24.0) | 0.007 | 1.72 (1.21-2.45); p=0.003 |
| Urologic/Cystotomy | 13 (1.5) | 6 (1.8) | 6 (2.1) | 1 (0.4) | 0.2 | 0.19 (0.005-1.31)b; p=0.1 |
| Bowel injury | 5 (0.6) | 1 (0.3) | 2 (0.7) | 2 (0.8) | 0.6 | 1.57 (0.13-13.76)b; p=0.6 |
| Blood vessel injury | 2 (0.2) | 1 (0.3) | 0 | 1 (0.4) | 0.8 | 2.35 (0.03-184.73)b; p=0.5 |
| Need for reoperation | 14 (1.6) | 5 (1.5) | 2 (0.7) | 7 (2.6) | 0.2 | 2.38 (0.83-6.86); p=0.1 |
| Pelvic hematoma | 7 (0.8) | 1 (0.3) | 3 (1.1) | 3 (1.1) | 0.4 | 1.77 (0.26-10.52)b; p=0.4 |
| Vaginal bleeding | 13 (1.5) | 7 (2.1) | 2 (0.7) | 4 (1.5) | 0.3 | 1.04 (0.23-3.78)b; p=1.0 |
| Pelvic infection | 4 (0.5) | 1 (0.3) | 2 (0.7) | 1 (0.4) | 0.8 | 0.78 (0.01-9.78)b; p=1.0 |
| Pneumonia | 2 (0.2) | 1 (0.3) | 1 (0.4) | 0 | 1.0 | n/a |
| Urinary tract infection | 10 (1.1) | 3 (0.9) | 1 (0.4) | 6 (2.3) | 0.1 | 3.57 (0.84-17.34)b; p=0.07 |
| Wound cellulitis | 8 (0.9) | 3 (0.9) | 0 | 5 (1.9) | 0.05 | 3.96 (0.76-25.66)b; p=0.06 |
| Need for transfusion | 16 (1.8) | 9 (2.6) | 4 (1.4) | 3 (1.1) | 0.4 | 0.54 (0.15-1.90); p=0.4 |
| Ileus | 9 (1.0) | 6 (1.8) | 1 (0.4) | 2 (0.8) | 0.2 | 0.67 (0.07-3.54)b; p=1.0 |
| Otherc | 21 (2.4) | 7 (2.1) | 5 (1.8) | 9 (3.4) | 0.5 | 1.78 (0.74-4.29); p=0.2 |
| Estimated blood loss >90th % (>500cc) | 76 (8.5) | 22 (6.5) | 19 (6.7) | 35 (13.2) | 0.008 | 2.16 (1.34-3.47); p=0.002 |
a
No cases of trocar site hernia, sepsis, VTE, PE, MI
b
exact 95% CI.
c
Other included respiratory acidosis, small bowel obstruction, mild congestive heart failure, adrenal insufficiency, atelectasis, heart block, trocar site hematoma, urinary retention, new onset atrial fibrillation, re-admission (but no re-operation) nerve palsy from positioning, unintended removal of an ovary, uterine perforation with manipulator, vaginal laceration, vaginal cuff seroma