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WASHINGTON -- Retroperitoneal dissection and uterine artery occlusion offer a successful approach to laparoscopic hysterectomy in morbidly obese patients, Dr. Jessica M. Vaught and her associates reported in a poster presented at the annual meeting of the American College of Obstetricians and Gynecologists.
The option to perform a laparoscopic hysterectomy can spare morbidly obese women the potential morbidity associated with an abdominal procedure, the investigators wrote.
Dr. Vaught and her colleagues at George Washington University Medical Center in Annapolis, Md., reviewed 186 laparoscopic hysterectomies performed by the same surgeon at a teaching hospital. Of these, 84 patients qualified as morbidly obese, with a body mass index ranging ...