Minimally Invasive Surgery in Morbidly Obese Women.

Abstract:

:Minimally invasive gynecologic surgery provides a number of clinical advantages compared with open laparotomy. Over the past 25 years, important modifications and innovations have further expanded the utility of these techniques. Complications such as surgical site infection, venous thromboembolism, and wound cellulitis or dehiscence rise in concert with escalating obesity, so it stands to reason that these patients would derive the most benefit from minimally invasive surgery. Yet, surgical complexity also rises proportionally, requiring fastidious technique and allowing little margin for error. As nonsurgical interventions become more commonplace and the rate of morbid obesity continues to increase, those women actually requiring a gynecologic operation through an abdominal approach will be ever more likely to present a number of challenges to safe completion of minimally invasive surgery. This article frames the topic and offers some tips across the range of care to enhance the likelihood of achieving success in this patient population most in need of surgical expertise.

journal_name

Obstet Gynecol

authors

Schorge JO

doi

10.1097/AOG.0000000000003588

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

199-210

issue

1

eissn

0029-7844

issn

1873-233X

pii

00006250-202001000-00026

journal_volume

135

pub_type

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