Abstract:

Obesity is a challenging health problem that affects surgical decision-making. Obesity has also been associated with an increase in the perioperative complication rate in open abdominal hysterectomy and can increase the level of difficulty in performing a vaginal hysterectomy. Total laparoscopic hysterectomy (TLH) is a route that can offer advantages in obese patients including smaller incisions that are less likely to become infected as well as less post-operative pain and good visualization. With appropriate perioperative planning and techniques, excellent outcomes can be achieved.

Authors:

Stuart Hart, MD, MS, Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Director, Tampa Bay Research and Innovation Center (TBRIC), Director, USF Center for the Advancement of Minimally-Invasive Pelvic Surgery (CAMPS), USF Health Center for Advanced Medical Learning and Simulation (CAMLS), University of South Florida Morsani College of Medicine, Tampa, Florida, Emad Mikhail, MD, Fellow of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, University of South Florida/, Morsani College of Medicine, Tampa, Florida, Lauren Scott, MD, Fellow of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of South Florida/, Morsani College of Medicine, Tampa, Florida, Anthony N. Imudia, MD, Director, USF Center for Fibroid and Endometriosis Research and Treatment, Assistant Professor, Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of South Florida/Morsani College of Medicine, Tampa, Florida

For Direct IP Access please click this link