@article{3049115,
    title = "Radical hysterectomy: Is obesity a comorbid condition?",
    author = "Kalogirou, D and Antoniou, G and Karakitsos, P and Kalogirou, O and and Antoniou, D and Proestakis, G",
    journal = "Journal of Gynecologic Surgery",
    year = "1997",
    volume = "13",
    number = "1",
    pages = "7-12",
    publisher = "MARY ANN LIEBERT INC PUBL",
    issn = "1042-4067, 1557-7724",
    doi = "10.1089/gyn.1997.13.7",
    abstract = "Our purpose was to evaluate and compare acute and chronic complications
in obese women after radical hysterectomy and pelvic lymphadenectomy
performed through different abdominal incisions, From 1984 to 1994, 266
women underwent a class III radical hysterectomy for stage IB-IIIA
invasive cervical cancer, Thirty-three of the women were considered
obese, Wound infection was the most frequent complication in obese
patients, These women had a significantly longer duration of
hospitalization and a higher fever index, No patient with a depth of
subcutaneous tissue < 4 cm had a wound infection (p = 0.013). When the
procedure was performed through a Pfannenstiel incision, there was a
significantly shorter hospital stay, a lower risk of transfusion, and
less blood loss, The incidence of serious complications is not increased
in obese patients treated with radical hysterectomy, The depth of
subcutaneous tissue is the most significant risk factor associated with
wound infection. In a selected population, a Pfannenstiel incision
offers the potential benefit of less abdominal wall trauma without
compromising surgical exposure or increasing the risk of surgical
complications."
}