Challenges of morbid obesity in gynecological practice

Opoku., Albert A.; Onifade, R; Odukoya, O.A.

doi:10.1016/j.bpobgyn.2023.102379

Cited by 2 publications

(2 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Obesity is presently a universal pandemic, with mounting trends worldwide. Statistics from the WHO, the USA CDC, the UK, and Canada show a mounting tendency, with 50% and 25% of the US population projected to be obese and morbidly obese by 2030 [10] . Obesity increases cardiovascular disease threats, DM disorders, metabolic syndrome consequences, and several malignancies including endometrial carcinoma.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Influence of Obesity on Non-Descent Vaginal Hysterectomy (NDVH): A Retrospective Comparison of Obese and Non-Obese Women Undergoing NDVH

2023

The Egyptian Journal of Hospital Medicine

View full text Add to dashboard Cite

Background: High body mass index (BMI) ≥ 30 kg/m 2 is associated with non-optimal perioperative consequences in women undergoing hysterectomy and is deemed a contraindication for non-descent vaginal hysterectomy (NDVH) by utmost gynecologic surgeons, is this contraindication authentic or assumed? Objective: To estimate the influence of BMI on perioperative outcomes in patients who underwent NDVH for nonmalignant uterine disorders. Patients and Methods: This retrospective cohort involves 843 patients; 413 patients were non-obese (BMI < 30 kg/m 2 ) and 430 patients were obese (BMI ≥ 30 kg/m 2 ). Results: BMI differed significantly between groups (27.4±6.7 vs. 38.6±11.6, P= 0.0001). Both groups also differed regarding age, parity, preoperative medical comorbidity including hypertension and diabetes mellites, American Society of Anesthesiologists physical status, and endometrial hyperplasia incidence (P<0.05), but were parallel concerning nulliparity, menopausal status, number of prior vaginal birth prior cesarean section, and virgin lower abdomen. No clinically significant alterations were perceived in perioperative consequences as transfusion, ureteral, bladder, or bowel injuries, fever, systemic infections, fistula, conversion to total abdominal hysterectomy, and total postoperative complications. Obese group was associated with significant excess operative blood loos, extended total and actual operative room time, longer postoperative hospital stays, higher rate of deep venous thrombosis (DVT), excess need for general aesthesia, analgesia and venous thromboembolism (VTE) prophylaxis (P<0.05). Conclusions:The outcomes regarding intraoperative conversion to TAH and perioperative consequences disclose that NDVH is safe and feasible for patients with BMI ≥ 30 kg/m 2 and gynecologist shouldn't consider obesity, even morbid or super or more, as a contraindication for NDVH.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Obesity increases cardiovascular disease threats, DM disorders, metabolic syndrome consequences, and several malignancies including endometrial carcinoma. Hysterectomy with increased BMI over 30 kg/m 2 is associated with numerous logistical challenges as well as escalated surgical [6,9] and perioperative hazards and raised cost [9][10][11] .…”

Section: Discussionmentioning

confidence: 99%

The Influence of Obesity on Non-Descent Vaginal Hysterectomy (NDVH): A Retrospective Comparison of Obese and Non-Obese Women Undergoing NDVH

2023

The Egyptian Journal of Hospital Medicine

View full text Add to dashboard Cite

show abstract

Reproductive Surgery in Females with Obesity: Reproductive Consequences of Obesity and Applications for Surgical Care

Marshall,

Estes

2023

Semin Reprod Med

View full text Add to dashboard Cite

Obesity is the most common medical problem in women of reproductive age. The surgical applications for this population, many of who are interested in current or future fertility, are critical to safe and effective evaluation and management of issues that impact the reproductive system. As rates of obesity continue to rise worldwide, it is projected that one in two individuals will have obesity by 2030 leading to increasing numbers of individuals affected by a disease process that has implications for their gynecologic surgical care, fertility-related assessment, and infertility treatment. Offering patients with obesity access to safe reproductive surgery is a cornerstone of reproductive autonomy. This review will summarize current recommendations regarding surgical concepts for the operating room, office hysteroscopy, oocyte retrieval, and embryo transfer in female patients with obesity.

show abstract

Challenges of morbid obesity in gynecological practice

Cited by 2 publications

References 56 publications

The Influence of Obesity on Non-Descent Vaginal Hysterectomy (NDVH): A Retrospective Comparison of Obese and Non-Obese Women Undergoing NDVH

The Influence of Obesity on Non-Descent Vaginal Hysterectomy (NDVH): A Retrospective Comparison of Obese and Non-Obese Women Undergoing NDVH

Reproductive Surgery in Females with Obesity: Reproductive Consequences of Obesity and Applications for Surgical Care

Contact Info

Product

Resources

About