title: [Laparoscopic nephrectomy with vaginal extraction in obese or overweight patients: the end of wound complications?].
abstract: OBJECTIVE
  To study the feasibility and to present results of laparoscopic nephrectomy with vaginal extraction in overweight or obese patients.
  
  
  METHODS
  Three patients having BMI>28 kg/m(2) underwent surgery. Median age was 56 years, median BMI was 44.4. Medical history included for the three patients type 2 diabetes mellitus and arterial hypertension. Two of the three patients were multiparous, one was nulliparous. Patients underwent standard laparoscopic nephrectomy with vaginal extraction of the specimen through a short incision of the posterior vaginal fornix. Feeding was normal on the first operating day. No morphine was prescribed during hospitalization stay.
  
  
  RESULTS
  No intraoperative complication occurred. Mean procedure time was 224 min. Mean blood loss was 140 mL. Postoperative period was uneventful and walking was normal on the first operating day. Hospitalization stays were 2, 3 and 5 days. One month follow up found no complication including normal sexual activity.
  
  
  CONCLUSIONS
  Laparoscopic nephrectomy with vaginal extraction is a feasible technique in obese or overweight patients. Wound morbidity (infection, hernia) is reduced due to the small abdominal incisions.
authors.affiliation: Service de chirurgie urologique, centre hospitalier Lyon Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France.
authors.forename: E
authors.initials: E
authors.lastname: Adam
authors.forename: F
authors.initials: F
authors.lastname: Golfier
authors.forename: A
authors.initials: A
authors.lastname: Lunel Potencier
authors.forename: A
authors.initials: A
authors.lastname: Ruffion
authors.forename: P
authors.initials: P
authors.lastname: Paparel
mesh_terms: D000368:Aged; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000150:complications / Q000601:surgery*; D007680:Kidney Neoplasms / Q000150:complications / Q000601:surgery*; D010535:Laparoscopy; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D009765:Obesity / Q000150:complications; D050177:Overweight / Q000150:complications; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D014621:Vagina