Abstract
The prevalence of obesity is on the rise worldwide, and laparoscopic surgeons are facing an increasing number of obese patients.
Laparoscopic surgery is a safe alternative to open surgery in obese patients, and the laparoscopic approach has fewer operative complications, quicker recovery period, less hospital stay and less postoperative pain. In gynaecology, all of the surgical procedures commonly performed through laparoscopic route in women of normal weight have been studied and found to be safe in obese patients as well. They include adnexal surgery, myomectomy, total laparoscopic hysterectomy, management of tubal ectopic pregnancy, endometrial cancer, and pelvic/para-aortic lymph node dissection. Laparoscopy in these patients should involve a careful preoperative evaluation, ample preparation, adequate operative time, appropriate instrumentation and patient counselling.
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Thanoon, O., Dewart, P., Mahmood, T. (2015). Laparoscopy in the Obese Patient. In: Metwally, M., Li, TC. (eds) Reproductive Surgery in Assisted Conception. Springer, London. https://doi.org/10.1007/978-1-4471-4953-8_14
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DOI: https://doi.org/10.1007/978-1-4471-4953-8_14
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