Hysterectomy in obese patients: special considerations
| Autor: | Stephen A. Cohen, Ellen Brock, David Chelmow, Kirk J. Matthews |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment MEDLINE Hysterectomy Postoperative management Body Mass Index Postoperative Complications Hysterectomy Vaginal Medicine Humans Surgical Wound Infection Obesity Uterine Diseases Vaginal route business.industry General surgery Obstetrics and Gynecology Thromboembolism Prophylaxis Venous Thromboembolism Antibiotic Prophylaxis Surgery Normal weight Female Laparoscopy business Body mass index |
| Zdroj: | Clinical obstetrics and gynecology. 57(1) |
| ISSN: | 1532-5520 |
| Popis: | A literature search was performed to find evidence-based practices that aid in the preoperative evaluation, intraoperative techniques, and postoperative management of the obese patient requiring hysterectomy. Complications are more frequent than in normal weight patients and are more difficult to manage. Few studies provide direct evidence with which to help guide surgical decision-making and postoperative management. However, there is sufficient evidence to support that when feasible, the vaginal route is preferable in obese patients. Techniques validated for normal weight patients like antibiotic and thromboembolism prophylaxis seem effective in obese patients, and are likely even more important. |
| Databáze: | OpenAIRE |
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