Implications of obesity on gynaecological surgery

Autor: Rohan Chodankar, Jonathan Chamberlain, Karen Rose
Rok vydání: 2019
Předmět:
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