A Practical Approach to Total Laparoscopic Hysterectomy in a Morbidly Obese Patient: A Case Report and Literature Review

Bahall, Vishal; Barry, Lance De; Singh, Keevan

doi:10.7759/cureus.34416

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…These medications include benzodiazepines, nonbenzodiazepine hypnotics, first-generation antihistamines, NSAIDs, and antispasmodics, among others [ 19 ]. Furthermore, early mobilization, diet advancement, incentive spirometry, and venous thromboembolism (VTE) prophylaxis are important to reduce perioperative VTE, postoperative delirium, and basal atelectasis leading to respiratory morbidity [ 18 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Optimizing Total Laparoscopic Hysterectomy for the Geriatric Population: A Practical Case Study and Comprehensive Literature Review

Bahall,

De Barry,

Singh

2023

Cureus

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Elderly patients represent a large cohort of patients requiring gynaecological surgery for benign and malignant indications. In recent years, several conventional gynaecological procedures have shifted towards minimally invasive alternatives such as laparoscopy, hysteroscopy, and robotic surgery. A recent Surveillance, Epidemiology, and End Results (SEER) analysis compared the outcomes of 25,000 women undergoing laparotomy versus laparoscopic approach to hysterectomy and found that laparoscopy is associated with a shorter duration of hospitalization (three days versus five days), less postoperative complications (76%), less requirement for blood transfusion, reduced operational costs, faster recovery, and an overall safer surgical experience. Although geriatric patients are affected by age-related comorbidities, physiologic changes, and altered pharmacodynamics and pharmacokinetics of administered drugs, these patients benefit most from minimally invasive surgery. In this paper, we present a comprehensive account of the interdisciplinary perioperative approaches employed to accomplish a total laparoscopic hysterectomy, bilateral salpingo-oophorectomy, and pelvic lymph node dissection in an 82-year-old patient who was diagnosed with grade I endometrial adenocarcinoma and multiple age-related medical comorbidities.

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Section: Discussionmentioning

confidence: 99%

Optimizing Total Laparoscopic Hysterectomy for the Geriatric Population: A Practical Case Study and Comprehensive Literature Review

Bahall,

De Barry,

Singh

2023

Cureus

Self Cite

View full text Add to dashboard Cite

show abstract

“…There is some evidence to suggest that there may be a relationship between endometriosis and obesity. Several studies have found that women who are obese or overweight may have a lower risk of developing endometriosis than women who are of normal weight (Bellver et al, 2021;Liu et al, 2021;Bahall et al, 2023).…”

Section: Introductionmentioning

confidence: 99%

Hormonal Changes in Women Undergoing Bariatric Surgery: A Comparative Study with a Control Group

Anbara

2023

Dev. Reprod.

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Bariatric surgery is an effective treatment option for obesity, but its effects on reproductive hormones are not well understood. This study aimed to investigate the impact of bariatric surgery on estrogen and progesterone levels in women with obesity. This was a prospective study that included 87 women with obesity who underwent bariatric surgery and 87 control women with obesity who did not. Blood samples were collected at baseline and at 3-month and 6-month follow-up periods to measure reproductive hormones and Adiponectin as well as medical history and physical examination for endometriosis and polycystic ovary syndrome (PCOS). The study found that sleeve gastrectomy significantly increased follicle-stimulating hormone (FSH) and luteinizing hormone (LH) levels in the bariatric surgery group compared to the control group at 3 and 6-month follow-up. There was no significant difference in the mean levels of estrogen and progesterone between the two groups at the 3-month followup period. Bariatric surgery leads to significant weight loss in women with obesity, but it does not seem to have a significant impact on estrogen and progesterone levels in the short-term. Future studies with longer follow-up periods are needed to investigate the long-term effects of bariatric surgery on reproductive hormones.

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A Practical Approach to Total Laparoscopic Hysterectomy in a Morbidly Obese Patient: A Case Report and Literature Review

Cited by 2 publications

References 22 publications

Optimizing Total Laparoscopic Hysterectomy for the Geriatric Population: A Practical Case Study and Comprehensive Literature Review

Optimizing Total Laparoscopic Hysterectomy for the Geriatric Population: A Practical Case Study and Comprehensive Literature Review

Hormonal Changes in Women Undergoing Bariatric Surgery: A Comparative Study with a Control Group

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