A comparative study of open and laparoscopic gynaecological surgeries in obese patients
Author(s): Dr. Nabnita Patnaik
Abstract:Background: Obesity has a greater impact on gynaecological diseases and elective surgeries in comparison to general population. The present study was conducted to compare open and laparoscopic gynaecological surgeries in obese patients. Materials & Methods: This study was conducted on 72 females in the department of Obstetrics and gynecology. Patients were divided into 2 groups of 36 each. Group I patients were planned for open surgeries and group II patients were planned for laparoscopic surgeries. In all patients, operative time, type of procedure and complications were recorded. Results: The mean age in group I was 40.2 years and in group II was 44.6 years, mean weight in group I patients was 72.4 kgs and in group II was 70.6 kgs. 5 patients in group I and 7 in group II had history of prior surgery. Mean operative time in group I patients was 1.4 hours and in group II patients was 1.05 hours. Procedure performed was minor 14 in group I patients and 16 in group II, major in 12 in group I and 8 in group II and complex 10 in group I and 12 in group II patients. Mean hospital stay was 5 days in group I and 2.4 days in group II patients. 8 patients in group I and 3 in group II showed wound infection, 7 in group I and 4 in group II had heavy menstrual bleeding, 5 in group I and 2 in group II had pulmonary embolism and 3 in group I and 0 in group II patients had intraoperative surgical complications. The difference was significant (p< 0.05). Conclusion: Laparoscopic surgeries had less postoperative complications as compared to open surgery group in obese patients.