Obesity in laparoscopic surgery

Best Practice & Research. Clinical Obstetrics & Gynaecology
K AforsA Wattiez

Abstract

Since the 1980s, minimally invasive techniques have been applied to an increasing number and variety of surgical procedures with a gradual increase in the complexity of procedures being successfully performed laparoscopically. In the past, obesity was considered a contraindication to laparoscopy due to the higher risk of co-morbid conditions such as diabetes, hypertension, coronary artery disease and venous thromboembolism. Performing laparoscopic gynaecological procedures in morbidly obese patients is no longer a rare phenomenon; however, it does necessitate changes in clinical practice patterns. Understanding of the physiological changes induced by laparoscopy, particularly in obese patients, is important so that these may be counteracted and adverse outcomes avoided. Laparoscopy in obese patients confers certain advantages such as shorter hospital stay, less post-operative pain and fewer wound infections. In addition to these benefits, minimal-access surgery has been demonstrated as safe and effective in obese patients; however, specific surgical strategies and operative techniques may need to be adopted.

References

Mar 1, 1992·Gynecologic Oncology·J HerdF J Montz
Sep 1, 1989·Baillière's Clinical Obstetrics and Gynaecology·H Reich
Apr 1, 1996·British Journal of Obstetrics and Gynaecology·J H OlssonM Hahlin
Jun 1, 1996·Gynecologic Oncology·S A Vasilev, K F McGonigle
Feb 1, 1996·Acta Anaesthesiologica Scandinavica·B Oberg, T D Poulsen
Sep 14, 2000·Gynecologic Oncology·G H EltabbakhL L Garafano
Feb 22, 2002·Gynecologic Oncology·Dennis R ScribnerRobert S Mannel
Mar 31, 2004·Obstetrics and Gynecology·Eric M HeinbergDavid J Bonilla
Sep 3, 2004·American Journal of Obstetrics and Gynecology·Georgine LamvuJohn F Steege
May 21, 2005·Journal of Minimally Invasive Gynecology·Bobby TeohJason Abbott
Mar 11, 2006·Journal of Minimally Invasive Gynecology·Angelos G VilosMohammad Al-Omran
Sep 4, 2009·Surgical Endoscopy·Alessandro SantiMichael D Mueller
Jun 16, 2010·Urology·Ardavan AkhavanJeffrey A Stock
May 2, 2012·International Journal of Obesity : Journal of the International Association for the Study of Obesity·R Huttunen, J Syrjänen
Aug 8, 2012·Korean journal of anesthesiology·Jaegyok Song
Aug 31, 2013·Oncology·Pierluigi Benedetti PaniciLudovico Muzii
Oct 9, 2013·Journal of Minimally Invasive Gynecology·Stacey A ScheibAmanda N Fader
Jan 21, 2014·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Lindsey CassidyMarios Loukas
Dec 3, 2014·Journal of Minimally Invasive Gynecology·Cherif AkladiosArnaud Wattiez

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Citations

Jan 20, 2017·International Urogynecology Journal·Helen JefferisSimon Jackson
Jun 9, 2016·Current Opinion in Obstetrics & Gynecology·Michelle LouieLauren D Schiff
Aug 25, 2019·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Paul J YongCatherine Allaire
Aug 25, 2019·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Paul J YongCatherine Allaire
Jun 4, 2020·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Andrea N SimpsonNancy N Baxter

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