Background: Obesity is a prevalent health concern worldwide, affecting various aspects of
patient care and surgical outcomes. Total laparoscopic hysterectomy (TLH) is a common
gynecological procedure, but its impact on obese patients remains an area of interest.
Understanding the perioperative challenges and financial implications associated with TLH in
obese individuals is crucial for optimizing patient care and resource allocation.
Objectives: to assess perioperative problems and financial outcomes in obese who undergo
total laparoscopic hysterectomy (TLH), in comparison to nonobese.
Patients and methods: A retrospective cohort study conducted on patients who underwent
TLH at Benha university hospital and private centers over 5 years, to compare the TLH
outcomes between class 1 and 2, with BMI between 30-39.9 kg/m2and nonobese with BMI
18.5 - 29.9 kg/m2.
Results: Among the 360 patients, who underwent TLH, 140 were obese (class 1 or 2) and 220
were nonobese. Surprisingly, there were no statistically significant differences in
intraoperative complications between the two groups (P>0.05). However, the impact of
obesity class on clinical and financial outcomes was evident. Obese patients experienced
longer hospital stays, increased operative blood loss, higher drug consumption, and elevated
costs. Notably, the incidence of surgical site infections and overall postoperative
complications was significantly higher in obese patients (P