Vaginal hysterectomy aided with surgery by the abdominal approach as a method of hysterectomy with salpingo-oophorectomy due to endometrial carcinoma in a woman with morbid obesity. Case report.
The most important risk factors of endometrial carcinoma are fat consumption, obesity (BMI > or = 25 kg/m2) and use of unbalanced estrogen therapy. Other factors include lack of physical activity, a high-calorie diet, arterial blood pressure above 140/90 mmHg and high concentrations of glucose in the blood. The basic treatment in cases of endometrial carcinoma is surgery including hysterectomy with salpingo-oophorectomy and complete interoperational assessment of the development degree of the disease. Basic operational treatment is difficult as far as obese women are concerned (BMI > or = 50 kg/m2). This is linked with poor access to operated tissues and limited visibility, mainly in the area of the bottom of the pelvis minor. Our 69-year-old patient was admitted to and operated on at the Gynecological Department due to endometrial carcinoma. Because of her giant obesity, BMI - 51.30 kg/m2, surgery by the abdominal approach was very difficult to perform, so vaginal hysterectomy with salpingo-oophorectomy was carried out.
Samulak
D
D
Clinic of Gynecological Surgery, Poznan University of Medical Sciences, Pozńan, Poland. darek.gin@wp.pl
Michalska
M
M
Wilczak
M
M
Pieta
B
B
Sajdak
S
S
D000368:Aged; D016889:Endometrial Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D007045:Hysterectomy, Vaginal / Q000379:methods*; D009767:Obesity, Morbid / Q000150:complications*; D010052:Ovariectomy / Q000379:methods*; D012489:Salpingostomy / Q000379:methods*