Perceptions, Relationship, and Management of Morbidly Obese Patients and the Role of Robotic Surgery

  • Henri Azaïs
  • Gaby Moawad
  • Catherine Uzan
  • Geoffroy Canlorbe
  • Jérémie BelghitiEmail author
Letter to the Editor

Letter to the Editor

“I can’t remember what difficulties I had when I operated on obese patients by laparoscopy.” This statement heard after a robot-assisted hysterectomy for a patient with a high body mass index (BMI) reminds us, surgeons, how robotic surgery has changed our perception of obesity.

Our institution, Pitié-Salpêtrière University Hospital, is a national multidisciplinary referral center for the treatment of obese patients with complex gynecologic pathologies. In our robotic surgery center, more than 500 procedures are performed yearly. Our gynecological surgery department is facing various challenges in the surgical management of gynecological pathologies in this population. It is well established that healthcare providers hold strong negative attitudes and stereotypes for obese patients. There is evidence that such attitudes influence person-perceptions, judgment, interpersonal behavior, decision, and finally the quality of provided care [1]. In Europe, the prevalence...


Compliance with Ethical Standards

Conflict of Interest

H.A. reports no conflict of interest.

G.M. reports personal fees and non-financial support from speaking engagements, outside the submitted work.

G.C. reports personal fees and non-financial support from Educational Services, personal fees, and non-financial support from speaking engagements, personal fees, and non-financial support from proctor, outside the submitted work.

C.U. reports no conflict of interest.

J.B. reports personal fees and non-financial support from educational services, personal fees, and non-financial support from speaking engagements, personal fees, and non-financial support from proctor, outside the submitted work.


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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Gynecologic and Breast Surgery and OncologyPitié-Salpêtrière, AP-HPParisFrance
  2. 2.Department of Obstetrics and GynecologyGeorge Washington University School of Medicine and Health SciencesWashingtonUSA
  3. 3.Biologie et Thérapeutiques du CancerCentre de Recherche Saint-Antoine, INSERM UMR_S 938ParisFrance
  4. 4.Sorbonne UniversityParisFrance

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