Table 3.

Intra- & Postoperative Outcomes in Obese Women According to Surgical Approach

First author & reference/surgical approach	EBL (mL)	ORT (min)	Hospital stay (days)	Perioperative complications	Findings
Eisenhauer26					Both laparoscopy & laparotomy+panniculectomy surgeries were associated with lower rates of wound complications (p ≤ 0.01). There was also less blood loss with laparoscopy, although this was not significant (p = 0.07).
Laparotomy	200 (40–2200)	164	6	54 (35%)
Laparotomy+panniculectomy	250 (50–700)	265	6	3 (11%)
Laparoscopy	150 (50–500)	215	3	2 (8%)
Santi15				Not assessed	Laparoscopy, in comparison to laparotomy, was associated with less ORT, EBL & length of hospital stay (p < 0.05)
Laparoscopy	240	165	5.6
Laparotomy	580	150	13.2
Subramaniam25					Robotic-assisted surgery, in comparison to laparotomy, was associated with less ORT, EBL, length of hospital stay, & wound complications (p < 0.05).
Robotic-assisted surgery	95.9	246.2	2.73	3 (4.1%)
Laparotomy	408.9	138.2	5.07	21 (20.2%)
Bernadini29					Operative complications were similar between robotic surgery patients & laparotomy patients. However, the laparotomy group had significantly longer lengths of hospital stay & higher postoperative complications (p < 0.05).
Robotic surgery	300	165	4	18 (44%)
Laparotomy	200	270	2	8 (17.7%)
Obermair22					Mean ORT & EBL were not significantly different between women who had TAH or TLH. However, women who had TLH had significantly less length of hospital stay & wound infection, compared to women who had TAH (p < 0.01).
All morbidly obesea
TLH	278.5	139.3	4.4	10 (21.3%)
TAH	319.8	126.8	7.9	18 (58%)

^aBody mass index was not specified but researchers stated that the patients were all morbidly obese.

EBL, estimated blood loss; ORT, operating room time; min, minutes; TLH, total laparoscopic hysterectomy; TAH, total abdominal hysterectomy.