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Case 86 - A 50-Year-Old G0 Woman with Class III Obesity Undergoing Abdominal Hysterectomy

Published online by Cambridge University Press:  19 November 2021

By
Andrea Snyder
Edited by
Todd R. Jenkins ,
Lisa Keder ,
Abimola Famuyide ,
Kimberly S. Gecsi  and
David Chelmow
Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 50-year-old female, gravida 0, presents to discuss hysterectomy for definitive treatment of heavy menses. She has had heavy menstrual bleeding for many years despite trials of a levonorgestrel intrauterine device and depot medroxyprogesterone. She has required blood transfusions for anemia related to the heavy bleeding. She has a medical history significant for class III obesity, diabetes, and hypertension. She had three prior cesarean deliveries and a tubal ligation. She has no significant social or family history. She takes metformin, lisinopril, and hydrochlorothiazide.

Keywords

abdominal hysterectomyobesitysurgery on obese patients
Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
 , pp. 263 - 265
Publisher: Cambridge University Press
Print publication year: 2021

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References

Matthews, KJ, Brock, E, Cohen, SA, Chelmow, D. Hysterectomy in obese patients: special considerations. Clin Obstet Gynecol 2014; 57(1): 106–14.CrossRefGoogle ScholarPubMed
Khavanin, N, Lovecchio, FC, Hanwright, PJ, et al. The influence of BMI on perioperative morbidity following abdominal hysterectomy. Am J Obstet Gynecol 2013; 208(6): 449.e1–6.CrossRefGoogle ScholarPubMed
Committee Opinion No. 619: Gynecologic surgery in the obese woman. Obstet Gynecol 2015; 125: 274–8.Google Scholar
Chiu, HY, Chen, PY, Chuang, LP, et al. Diagnostic accuracy of the Berlin questionnaire, STOP-BANG, STOP, and Epworth sleepiness scale in detecting obstructive sleep apnea: a bivariate meta-analysis. Sleep Med Rev 2017; 36: 57–70.CrossRefGoogle ScholarPubMed
Scheib, SA, Thomassee, M, Kenner, JL. Enhanced recovery after surgery in gynecology: a review of the literature. J Minim Invasive Gynecol 2019; 26(2): 327–43.CrossRefGoogle ScholarPubMed
Blikkendaal, MD, Schepers, EM, van Zwet, EW, Twijnstra, AR, Jansen, FW. Hysterectomy in very obese and morbidly obese patients: a systematic review with cumulative analysis of comparative studies. Arch Gynecol Obstet 2015; 292(4): 723–38.CrossRefGoogle ScholarPubMed
Prevention of infection after gynecologic procedures: ACOG Practice Bulletin, Number 195. Obstet Gynecol 2018; 131(6): e172–89.Google Scholar
Gould, MK, Garcia, DA, Wren, SM, et al. Prevention of VTE in nonorthopedic surgical patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 2012; 141(2 Suppl): e227S-e277S.CrossRefGoogle ScholarPubMed

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