Myomektomi olan hastalarda vücut kitle indeksi ve klinik komplikasyonlar arasındaki ilişki

Year 2020, , 1027 - 1030, 01.11.2020

Tuğba Gürbüz , Oğuz Yardımcı , Sertaç Udum Taner Günay

https://doi.org/10.28982/josam.805122

Abstract

Amaç: Obezite, tüm dünyada önemli ölçüde engelliliğe ve kritik bir halk sağlığı sorununa neden olan kronik bir hastalıktır. Son zamanlarda uterin leiomyom ve obezite komplikasyonları arasında olası bir ilişki düşünülmüştür, ancak kesin sonuçlara varılmamıştır. Bu çalışmanın amacı, myomektomi olan hastalarda vücut kitle indeksi (VKİ) ve klinik komplikasyonlar arasındaki ilişkiyi araştırmak ve VKİ’nin uterus leiomyomu olan kadınların klinik sonuçlarını ve komplikasyonlarını etkileyip etkilemediğini görmektir.
Yöntemler: Bu retrospektif kohort çalışmaya, Ekim 2016 ve Aralık 2019 arasında uterin leiomyom tanısı alan ve abdominal myomektomi geçiren hastalar alındı. Çalışmaya abdominal miyomektomi uygulanan 287 hasta katıldı. Hastalar VKİ'ye göre iki gruba ayrıldı: VKİ <30 kg/m2 (Grup 1) ve VKİ 30 kg/m2 (Grup 2).
Bulgular: Birinci gruptaki hastaların ortalama yaşı 37,08 (6,17), 2. gruptaki hastaların ortalama yaşı ise 37,53 (5,98) olarak bulundu. VKİ 30 kg/m2 altında olan hasta sayısı 196, VKİ 30 kg/m2 üzerinde olan hasta sayısı ise 91’di. Cerrahi endikasyon (P=0,970), leiomyom lokalizasyonu (P=0,793), leiomyoma boyutu (P=0,335), çıkarılan ortalama myom sayısı (P=0,537), postoperatif patolojik tanı (P=0,189), komplikasyonlar ve ortalama hastanede kalış süresinde (P=0,249) iki grup arasında istatistiksel olarak anlamlı fark yoktu. İki grup arasında VKİ (P<0,001), ALT (P=0,039) ve Üre (P=0,018) açısından istatistiksel olarak anlamlı fark vardı.
Sonuç: VKİ, abdominal myomektomi geçiren hastalarda klinik sonuçları olumsuz bir şekilde etkilemedi. Myomektomi geçiren hastalar arasında obezite, sonuçlar açısından bir risk faktörü olarak değerlendirilmemektedir.

Keywords

Vücut kitle indeksi, Uterin leiomyom, Abdominal myomektomi, Obezite

The relationship between body mass index and clinical complications among patients undergoing myomectomy

Abstract

Aim: Obesity, a chronic disease which significantly causes disability, is a critical public health concern all over the world. A possible correlation between the complications of uterine leiomyoma and obesity has been recently considered, but no definitive conclusions have been made. The purpose of this study is to investigate the association between body mass index (BMI) and clinical complications among the patients undergoing myomectomy to see whether BMI can affect the clinical outcomes and complications of women with uterine leiomyoma.
Methods: This retrospective cohort study was conducted on the patients undergoing abdominal myomectomy for uterine leiomyoma from September 2016 to December 2019. A total of 287 patients undergoing abdominal myomectomy participated in the study. The patients were divided into two groups based on BMI: BMI <30 kg/m2 (Group 1) and BMI 30 kg/m2 (Group 2).
Results: The mean ages of the patients in Groups 1 and 2 were 37.08(6.17) years and 37.53 (5.98) years, respectively. Among all, 196 patients had a BMI of <30 kg/m2 and 91 patients had a BMI of 30 kg/m2. There was no statistically significant difference between the two groups in terms of surgical indication (P=0.970), leiomyoma localization (P=0.793), leiomyoma size (P=0.335), the mean number of fibroids removed (P=0.537), postoperative pathological diagnosis (P=0.189), complications, and the mean duration of hospital stay (P=0.249). There was a statistically significant difference between the two groups in terms of BMI (P<0.001), ALT (P=0.039), and Urea (P=0.018).
Conclusion: BMI did not adversely affect the clinical outcomes of patients undergoing abdominal myomectomy. Obesity is not regarded as a risk factor for poor outcomes.

Keywords

Body mass index, Uterine leiomyoma, Abdominal myomectomy, Obesity

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