Facing to patients with obesity: A paradigm to modify.
[Facing to patients with obesity: A paradigm to modify]. Rev Mal Respir. 2019 Sep 11;: Authors: Cuvelier A, Taillé C PMID: 31521431 [PubMed - as supplied by publisher]
Robotic assistance may facilitate completion of minimally invasive hysterectomy, which is the standard of care for the treatment of early-stage endometrial cancer, in patients for whom conventional laparoscopy is challenging. The aim of this systematic review was to assess conversion to laparotomy and perioperative complications after laparoscopic (LH) and robotic hysterectomy (RH) in endometrial cancer patients with obesity.
There are three general techniques for laparoscopic entry, all of which are considered safe and effective. These include the use of a veress needle, an optical trocar, and an open approach. Twenty-five percent of all injuries during laparoscopic surgery occur with initial entry. Therefore, a thoughtful approach to port placement is critical to ensure optimal performance and patient safety with entry. Certain patient factors that may increase the rate of injury or complicate entry include obesity, prior abdominal surgeries, large uterine size, and the small stature and short torso of the pediatric patient.
To assess the effect of resident participation on hysterectomy-related complications in morbidly obese patients.
To evaluate the accuracy of bladder scanner measurements in assessing post-void residual (PVR) volumes in obese women [body mass index (BMI) ≥30 kg/m2] as compared to non-obese women (BMI
Atypical Hyperplasia carries a 30% risk of developing endometrial cancer over 20 years. Endometrial cancer has increased by 54% since the 1998. Overall hysterectomy rates are falling, and obesity increases. We reviewed 3 snapshot years over 10 years, in terms of hyperplasia numbers, management and surveillance.
Screening guidelines for endometrial hyperplasia/malignancy are based on a patient population predating the current obesity epidemic. With the rise in obesity and related malignancies, the objective of this study is to evaluate various risk factors for endometrial hyperplasia/malignancy in premenopausal women with AUB or oligomenorrhea. Specifically the study aims to elucidate whether obesity or age confers higher risk of disease in the premenopausal population.
To assess the effect of fellowship-trained surgeons (FTS) on hysterectomy-related complications in morbidly obese patients.
This objective of this video is to review surgical considerations for the obese patient undergoing minimally invasive surgery.
CONCLUSION: Our study reinforces the role of older age, obesity and hepatomegaly as predictors of fatty liver disease. These variables should be considered in the assessment of fatty changes in the livers of potential liver donors.
Unicef's report revealed the US has the highest number of children who are either overweight or obese (41.86 per cent), out of 41 of the world's biggest nations.