Laparoscopic hysterectomy for obese patients
- Authors: Andreyev A.L.1
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Affiliations:
- Regional Clinical Hospital of St. Petersburg
- Issue: Vol 48, No 5S (1999)
- Pages: 29-29
- Section: Articles
- URL: https://journals.eco-vector.com/jowd/article/view/100760
- DOI: https://doi.org/10.17816/JOWD100760
- ID: 100760
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Abstract
Objective: Traditional gynecological operations, especially hysterectomy, for obese patients are very difficult, traumatic and often have complications. The aim of the study was to identify a feasible and safe technique of laparoscopic hysterectomy for these patients and to investigate the results of its application.
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Objective: Traditional gynecological operations, especially hysterectomy, for obese patients are very difficult, traumatic and often have complications. The aim of the study was to identify a feasible and safe technique of laparoscopic hysterectomy for these patients and to investigate the results of its application.
Methods: The indication for laparoscopic operations was fibromyoma of uterus (9-12 weeks), complicated with frequent uterine bleeding. Laparoscopic operations were made using pneumoperitoneum of 12-14 mmHg combined with traction of the abdominal wall. After uterine mobilization by uni- and bipolar electrocautery, we placed 2-3 endoloops at the uterine neck and vessels, transected them and finished laparoscopic hysterectomy, or used vaginal approach.
Results: Laparoscopic hysterectomies (11 laparoscopic and 1 laparoscopic assisted vaginal hysterectomy) were made for 12 obese patients, 45-60 years old. The weight varied between 95-130 kg. The mean operation time was 120 minutes. We have seen no serious complications following laparoscopic operation.
Conclusions: Laparoscopic hysterectomy is safe and beneficial to the obese patients.
About the authors
A. L. Andreyev
Regional Clinical Hospital of St. Petersburg
Author for correspondence.
Email: info@eco-vector.com
Russian Federation, St. Petersburg