Background: High body mass index (BMI) ≥ 30 kg/m2 is associated with non-optimal perioperative consequences in women undergoing hysterectomy and is deemed a contraindication for non-descent vaginal hysterectomy (NDVH) by utmost gynecologic surgeons, is this contraindication authentic or assumed?
Objective: To estimate the influence of BMI on perioperative outcomes in patients who underwent NDVH for non- malignant uterine disorders.
Patients and Methods: This retrospective cohort involves 843 patients; 413 patients were non-obese (BMI < 30 kg/m2) and 430 patients were obese (BMI ≥ 30 kg/m2).
Results: BMI differed significantly between groups (27.4±6.7 vs. 38.6±11.6, P= 0.0001). Both groups also differed regarding age, parity, preoperative medical comorbidity including hypertension and diabetes mellites, American Society of Anesthesiologists physical status, and endometrial hyperplasia incidence (P