Implications of obesity on gynaecological surgery
Autor: | Rohan Chodankar, Jonathan Chamberlain, Karen Rose |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
education.field_of_study business.industry medicine.medical_treatment Population Obstetrics and Gynecology medicine.disease Obesity Gynaecological surgery Reproductive Medicine Gynecological malignancy Laparotomy Perioperative care Invasive surgery Global health Medicine business Intensive care medicine education |
Zdroj: | Obstetrics, Gynaecology & Reproductive Medicine. 29:195-200 |
ISSN: | 1751-7214 |
Popis: | Obesity is a global health epidemic with a rising trend. There are well-established links between obesity and benign gynaecological pathology, premalignant gynaecological conditions and gynaecological malignancy. Obese women may need surgery just as non-obese women do, hence clinicians should be well versed with the impact of obesity on the woman's physiology, the surgical challenges and the effects of obesity on surgical outcomes. Clinicians should be able to counsel women regarding the risks of surgery as well optimizing their perioperative care whilst working within a multidisciplinary team. Current evidence highlights the efficacy and safety of minimally invasive surgery in obese women and it should be offered in preference to laparotomy when possible. All forms of surgery are more challenging in the obese population and routine techniques may need to be modified as described in this review. |
Databáze: | OpenAIRE |
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