OJOG  Vol.4 No.10 , July 2014
Risk Management of Obese Women Undergoing Major Gynaecological Surgery

Obesity is a big problem which is growing. Thus clinicians and surgeons are likely to treat obese patients more frequently. Obesity can affect medical practice in a number of ways. In order to protect ourselves from potential litigation, we need to focus on risk management efforts on creating a safe environment for patients of all sizes. The aim of our study was to review the risk management strategies of obese women prior to surgery, perioperatively and following surgery. We then identified the strategies and have brought them forward in our article.

Cite this paper
Batish, A. and Jaiyesimi, R. (2014) Risk Management of Obese Women Undergoing Major Gynaecological Surgery. Open Journal of Obstetrics and Gynecology, 4, 612-616. doi: 10.4236/ojog.2014.410084.
[1]   Yu, C.K.H., Cutner, A., Mould, T. and Olaitan, A. (2005) Total Laparoscopic Hysterectomy as a Primary Surgical Treatment for Endometrial Cancer in Morbidly Obese Women. BJOG, 11, 115-117.

[2]   Basdevant, A. (2000) Obesity: Epidemiology and Public Health. Annales d Endocrinologie (Paris), 61, 6-11.

[3]   (1998) Executive Summary of the Clinical Guidelines on the Identification, Evaluation and Treatment of Overweight and Obesity in Adults. Archives of Internal Medicine, 158, 1855-1867.

[4]   Association of Anaesthetists of Great Britain and Ireland (2007) Perioperative Management of the Morbidly Obese Patient. AAGBI, London.

[5]   Adapted from WHO, 1995, WHO, 2000 and WHO 2004.

[6]   Haslam, D.W. and James, W.P.T. (2005) Obesity. Lancet, 366, 1197-1209.

[7]   Mokdad, A.H., Serdula, M.K., Dietz, W.H., Bowman, B., Marks, J.S. and Koplan, J.P. (2000) The Spread of the Obesity Epidemic in the United States, 1991-1998. JAMA, 284, 1650-1651.

[8]   Kuczmarski, R.J., Flegal, K.M. and Campbell, C.L. (1994) Increasing Prevalence of Overweight among US Adults. The National Health and Nutrition Surveys 1960-1991. JAMA, 272, 205-211.

[9]   Everett, E., Tamimi, H., Greer, B., et al. (2003) The Effect of Body Mass Index on Clinical/Pathological Features, Surgical Morbidity, and Outcome in Women with Endometrial Cancer. Gynecologic Oncology, 90, 150-157. http://dx.doi.org/10.1016/S0090-8258(03)00232-4

[10]   Alexander, C. and Liston, W. (2006) Operating on the Obese Woman—A Review. BJOG, 113, 1167-1172. http://dx.doi.org/10.1111/j.1471-0528.2006.01073.x

[11]   Dewhurst’s Textbook for Obstetrics and Gynaecology

[12]   Hansen, G., Drablos, P.A. and Steinert, R. (1977) Pulmonary Complications. Ventilation and Blood Gases after Upper Abdominal Surgery. Acta Anaesthesiologica Scandinavica, 21, 211-215.

[13]   Eriksen, J., Andersen, J. and Rasmussen, J.P. (1977) Postoperative Pulmonary Function in Obese Patients after Upper Abdominal Surgery. Acta Anaesthesiologica Scandinavica, 21, 336-341.

[14]   von Ungern-Strenberg, B.S., Regli, A., Schneider, M.C., Kunz, F. and Reber, A. (2004) Effect of Obesity and Site of Surgery on Perioperative Lung Volumes. British Journal of Anaesthesia, 92, 202-207.

[15]   Luce, J.M. (1980) Respiratory Complications of Obesity. Chest, 78, 626-631.

[16]   Ray, C., Sue, D., Bray, G., et al. (1983) Effects of Obesity on Respiratory Function. The American Review of Respiratory Disease, 128, 501-506.

[17]   Barrera, F., Reidenberg, M. and Winters, W. (1967) Pulmonary Function in the Obese Patient. The American Journal of Medicine, 254, 785-796. http://dx.doi.org/10.1097/00000441-196712000-00003

[18]   Waltemath, C.L. and Bergman, N.A. (1974) Respiratory Compliance in Obese Patients. Anesthesiology, 41, 84-85. http://dx.doi.org/10.1097/00000542-197407000-00022

[19]   Thomas, D., Ikeda, M., Deepika, K., Medlina, C. and Takacs, P. (2006) Laparoscopic Management of Benign Adnexal Mass in Obese Women. Journal of Minimally Invasive Gynecology, 13, 311-314.

[20]   Isik-Akbay, E.F., Harmanli, O.H., Panganamamula, U.R., Akbay, M., Gaughan, J. and Chatwani, A.J. (2004) Hysterectomy in Obese Women: A Comparison of Abdominal and Vaginal Routes. Obstetrics and Gynecology, 104, 710-714.

[21]   Houlb, Z., Jabor, A., Kliment, L., Fischlova, D. and Wagnerova, M. (2001) Laparoscopic Hysterectomy in Obese Women: A Clinical Prospective Study. European Journal of Obstetrics Gynecology and Reproductive Biology, 98, 77-82.

[22]   National Institute for Health and Clinical Excellence (2009) Venous Thromboembolism: Reducing the Risk of Thromboembolism (Deep Vein Thrombosis and Pulmonary Embolism) in Patients Admitted to Hospital. Clinical Guideline CG92. NICE, London.