Optimizing Robotic Hysterectomy for the Patient Who Is Morbidly Obese with a Surgical Safety Pathway.

Journal: Journal of minimally invasive gynecology
Published Date: Jun 15, 2021

Abstract

STUDY OBJECTIVE: Obesity is a growing worldwide epidemic, and patients classified as obese undergoing gynecologic robotic surgery are at increased risk for surgical complications. This study aimed to evaluate the feasibility and outcomes of a surgical safety protocol known as the High BMI [Body Mass Index] Pathway (HBP) for patients with BMI ≥40 kg/m undergoing planned robotic hysterectomy. Our primary outcome was the rate of all-cause perioperative complications in patients undergoing surgery with the use of the HBP.

Authors

  • Maria J Smith
    Department of Obstetrics and Gynecology, NYU Langone Health (Dr. Smith), New York, NY.
  • Jessica Lee
    Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Texas Southwestern Medical Center (Drs. Lee), Dallas, TX.
  • Allison L Brodsky
    Department of Obstetrics and Gynecology, University of California San Diego (Drs. Brodsky), San Diego, CA.
  • Melissa A Figueroa
    NYU Medical Center, NYU Langone Health (Mss. Figueroa, Giard, and Luker, and Mr. Stamm).
  • Matthew H Stamm
    NYU Medical Center, NYU Langone Health (Mss. Figueroa, Giard, and Luker, and Mr. Stamm).
  • Audra Giard
    NYU Medical Center, NYU Langone Health (Mss. Figueroa, Giard, and Luker, and Mr. Stamm).
  • Nadia Luker
    NYU Medical Center, NYU Langone Health (Mss. Figueroa, Giard, and Luker, and Mr. Stamm).
  • Steven Friedman
    Department of Population Health, NYU Langone Health (Mr. Friedman).
  • Tessa Huncke
    Department of Anesthesiology, NYU Langone Health (Drs. Huncke and Jain), New York, NY.
  • Sudheer K Jain
    Department of Anesthesiology, NYU Langone Health (Drs. Huncke and Jain), New York, NY.
  • Bhavana Pothuri
    Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, NYU Langone Health (Dr. Pothuri). Electronic address: bhavana.pothuri@nyulangone.org.

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