Abstract
Study Objective To assess the effect of fellowship-trained surgeons (FTS) on hysterectomy-related complications in morbidly obese patients. Design Retrospective cohort study Setting Tertiary-care, academic medical center with generalist obstetricians/gynecologists, gynecologic oncologists, urogynecologists, and minimally invasive gynecologic surgery trained surgeons Patients or Participants Patients with BMI > 40 kg/m2 who underwent any route of hysterectomy between 4/2014 and 3/2018 were eligible for inclusion. 225 patients were randomly selected, excluding patients with malignancy or bariatric surgery. Interventions 105 patients who underwent hysterectomy with a FTS were compared to 120 patients with no FTS. Data was collected by chart review and polytomous logistic regression was used for analysis. Measurements and Main Results Patients in the FTS group were more obese (BMI 46.7 v. 45.0, P=0.01), had a higher prevalence of obesity-related medical comorbidities (80% v. 55%, P Conclusion In morbidly obese patients, hysterectomy by fellowship trained surgeons was not associated with a difference in 30-day complications. It is possible that in this high-risk cohort, there are small differences in outcomes, which we are unable to detect.
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