GÜNEŞ ÖZLEM YILDIZ, GÖKHAN SERTÇAKACILAR, FURKAN TONTU, DUYGU AKYOL
Medical Journal of Bakırköy - 2022;18(2):218-224
Objective: Obesity is a major public health issue worldwide. Obesity, along with its associated comorbidities, may impact surgical outcomes. Obesity is linked to wound infection, thromboembolic complications, and respiratory difficulties in surgical patients. Obesity may or may not have a negative impact on postoperative outcomes. METHODS: Patients over the age of 18 who had endometrial cancer surgery were screened retrospectively. Patient data from the hospital database were retrieved in terms of demographics, comorbidities, American Society of Anesthesiologists (ASA) score, Charlson Comorbidity index (CCI) score, duration of operation and anesthesia, postoperative intensive care admission, complications, and length of hospital stay. They were also reviewed and recorded from the patient file. Results: The subjects’ mean age was 57.2±9.8 years (range: 31-84 years). In patients with endometrial cancer, American Society of Anesthesiologist (ASA) (p=0.001), Charlson Comorbidity Index (CCI) (p=0.001) scores, operation time, postoperative complication risk (p=0.004), and hospital stay increase (p=0.029) as we progress from the normal group to the obese and morbidly obese groups. Conclusion: Obesity increases the risk of postoperative complications such as wound infection, sepsis, acute renal damage, evisceration, and hospital stay in patients who have had endometrial cancer surgery. The ASA and CCI scores were related to postoperative complications, with the CCI score also being related to the length of hospital stay. The fact that these scores provide information about the postoperative outcomes of patients from the preoperative period emphasizes the significance of these scores once more.
