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  The effect of obesity on the outcomes of laparoscopic hysterectomy: a literature overview [Eastern J Med]
Eastern J Med. 2021; 26(1): 194-198 | DOI: 10.5505/ejm.2021.79553  

The effect of obesity on the outcomes of laparoscopic hysterectomy: a literature overview

Abdallah Chaar1, Aline Khazzaka2, Moussa AL-Alak3, Michele Fichera4, Antonio Schiattarella5, Gaetano Riemma5, Zaki Sleiman6
1Department of Obstetrics and Gynaecology, Saint Joseph University, Beirut, Lebanon
2Surgical Research Laboratory, Saint Joseph University, Beirut, Lebanon
3College of Medicine, Univerity of Kerbala, Kerbala, Iraq
4Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy
5Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy
6Department of Obstetrics and Gynaecology, Lebanese American University, Beirut, Lebanon

In the last decades, obesity has reached epidemic proportions in the world (40% in certain countries). It predisposes to many diseases and morbidities in both males and females. In the latter, obesity predisposes to multiple gynecological conditions requiring hysterectomy such as endometrial cancer. Over the years, technical improvements have allowed surgeons to perform a hysterectomy in a minimally invasive approach (laparoscopically) with clear benefits, safety and better outcomes compared to the abdominal approach. The aim of this review is to provide an overview of the effects of obesity on the outcomes of laparoscopic hysterectomy performed both for benign and malignant gynecological pathologies. We performed literature research on the electronic database PubMed from the database inception through June 29, 2019. Obesity does not seem to increase adverse outcomes in laparoscopic hysterectomy as compared to the increased postoperative complication rate after open surgery. Therefore, laparoscopic hysterectomy can be performed safely in this population and represent the approach of choice.

Keywords: Obesity, Hysterectomy, Laparoscopy, Endometrial cancer, Minimally invasive surgery, Outcomes


Abdallah Chaar, Aline Khazzaka, Moussa AL-Alak, Michele Fichera, Antonio Schiattarella, Gaetano Riemma, Zaki Sleiman. The effect of obesity on the outcomes of laparoscopic hysterectomy: a literature overview. Eastern J Med. 2021; 26(1): 194-198

Corresponding Author: Zaki Sleiman, Türkiye


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