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A Practical Approach to Total Laparoscopic Hysterectomy in a Morbidly Obese Patient: A Case Report and Literature Review

Morbid obesity, traditionally considered to be a contraindication to total laparoscopic hysterectomy, is now evolving into an indication. Innovations and advancements in minimally invasive surgical techniques have significantly improved patient morbidity and mortality rates, reduced operational cost...

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Detalles Bibliográficos
Autores principales: Bahall, Vishal, De Barry, Lance, Singh, Keevan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9977630/
https://www.ncbi.nlm.nih.gov/pubmed/36874713
http://dx.doi.org/10.7759/cureus.34416
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author Bahall, Vishal
De Barry, Lance
Singh, Keevan
author_facet Bahall, Vishal
De Barry, Lance
Singh, Keevan
author_sort Bahall, Vishal
collection PubMed
description Morbid obesity, traditionally considered to be a contraindication to total laparoscopic hysterectomy, is now evolving into an indication. Innovations and advancements in minimally invasive surgical techniques have significantly improved patient morbidity and mortality rates, reduced operational costs, and provided patients with an overall safer surgical experience. Although the laparoscopic approach is associated with several physiologic and technical challenges in the morbidly obese, it is plausible that these patients stand to benefit the most from minimally invasive surgery. This report highlights the methods of preoperative optimization, intraoperative considerations, and postoperative management strategies employed to achieve a successful total laparoscopic hysterectomy, bilateral salpingo-oophorectomy and pelvic lymph node dissection in a patient with a BMI of 45kg/m(2), diagnosed with grade 1 endometrial adenocarcinoma and several obesity-related comorbidities.
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spelling pubmed-99776302023-03-03 A Practical Approach to Total Laparoscopic Hysterectomy in a Morbidly Obese Patient: A Case Report and Literature Review Bahall, Vishal De Barry, Lance Singh, Keevan Cureus Family/General Practice Morbid obesity, traditionally considered to be a contraindication to total laparoscopic hysterectomy, is now evolving into an indication. Innovations and advancements in minimally invasive surgical techniques have significantly improved patient morbidity and mortality rates, reduced operational costs, and provided patients with an overall safer surgical experience. Although the laparoscopic approach is associated with several physiologic and technical challenges in the morbidly obese, it is plausible that these patients stand to benefit the most from minimally invasive surgery. This report highlights the methods of preoperative optimization, intraoperative considerations, and postoperative management strategies employed to achieve a successful total laparoscopic hysterectomy, bilateral salpingo-oophorectomy and pelvic lymph node dissection in a patient with a BMI of 45kg/m(2), diagnosed with grade 1 endometrial adenocarcinoma and several obesity-related comorbidities. Cureus 2023-01-30 /pmc/articles/PMC9977630/ /pubmed/36874713 http://dx.doi.org/10.7759/cureus.34416 Text en Copyright © 2023, Bahall et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Family/General Practice
Bahall, Vishal
De Barry, Lance
Singh, Keevan
A Practical Approach to Total Laparoscopic Hysterectomy in a Morbidly Obese Patient: A Case Report and Literature Review
title A Practical Approach to Total Laparoscopic Hysterectomy in a Morbidly Obese Patient: A Case Report and Literature Review
title_full A Practical Approach to Total Laparoscopic Hysterectomy in a Morbidly Obese Patient: A Case Report and Literature Review
title_fullStr A Practical Approach to Total Laparoscopic Hysterectomy in a Morbidly Obese Patient: A Case Report and Literature Review
title_full_unstemmed A Practical Approach to Total Laparoscopic Hysterectomy in a Morbidly Obese Patient: A Case Report and Literature Review
title_short A Practical Approach to Total Laparoscopic Hysterectomy in a Morbidly Obese Patient: A Case Report and Literature Review
title_sort practical approach to total laparoscopic hysterectomy in a morbidly obese patient: a case report and literature review
topic Family/General Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9977630/
https://www.ncbi.nlm.nih.gov/pubmed/36874713
http://dx.doi.org/10.7759/cureus.34416
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