Hysterectomy in very obese and morbidly obese patients: a systematic review with cumulative analysis of comparative studies

Purpose Some studies suggest that also regarding the patient with a body mass index (BMI) ≥35 kg/m2 the minimally invasive approach to hysterectomy is superior. However, current practice and research on the preference of gynaecologists still show that the rate of abdominal hysterectomy (AH) increases as the BMI increases. A systematic review with cumulative analysis of comparative studies was performed to evaluate the outcomes of AH, laparoscopic hysterectomy (LH) and vaginal hysterectomy (VH) in very obese and morbidly obese patients (BMI ≥35 kg/m2).