IMR Press / EJGO / Volume 31 / Issue 4 / pii/1630985273188-1961565080

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
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
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1 Clinic of Gynecological Surgery, Poznan University of Medical Sciences, Pozn´an
2 Cathedral and Clinic of Mother’s and Child’s Health, Poznan University of Medical Sciences, Pozn´an
3 Department of Obstetrics and Gynecology, Regional Hospital in Kalisz, Kalisz
4 Department of Medical Education, Poznan University of Medical Sciences, Pozn´an (Poland)
Eur. J. Gynaecol. Oncol. 2010, 31(4), 475–477;
Published: 10 August 2010
Abstract

The most important risk factors of endometrial carcinoma are fat consumption, obesity (BMI ≥ 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 ≥ 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.
Keywords
Endometrial carcinoma
Vaginal hysterectomy
Giant obesity
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