What's different about doing gynecological surgery on a fat MM?
Fat MM abdominal fat thickness is longer than a laparoscopic trocar
When the fat MM is operated on, it is not a fight between trocars, but a fight between trocars and meat
When giving fat MM surgery, the eyes are full of golden fat, from peritoneal fat --- fat intestines--- large omentum fat --- fatty liver--- cirrhosis, and the field of vision of pelvic surgery is limited
Fat MM venous thrombosis and pulmonary embolism are at higher risk
Fat MM postoperative infection risk is higher
Fat MM postoperative wounds have a higher risk of liquefaction
In short, to do surgery on fat MM, the doctor is tired, the patient is also tired, and both lose.
Surgery for obese patients is a daunting challenge for gynecologists, with more complications in anesthesia, operative and postoperative, and the challenges are even greater.
What do obese patients need to pay attention to when performing gynecological surgery?
Try to lose weight before surgery: although short-term weight loss is also a huge challenge for fat girls
Preoperative assessment of cardiopulmonary function
Screening obese patients for diabetes: Obese patients often have insulin resistance, regardless of whether they have diabetes or not, they should do a good job of preoperative and postoperative prevention of infection
A preoperative questionnaire assesses the risk of obstructive sleep apnea and is consulted with an anesthesiologist prior to surgery
Try to choose minimally invasive rather than open surgery: open abdominals have more complications, such as wound infection, fat liquefaction, etc
A preoperative venous thromboembolism risk score (Caprini) determines whether to use machinery, drugs, or a combination of both to prevent thrombosis, which is twice as common as in non-obese patients
Preoperative intestinal preparation: obese patients have limited surgical vision, pelvic abdominal cavity at a glance, are golden fat, if this time flatulence, for the surgeon, it is really difficult
Get out of bed early after surgery and strengthen respiratory care
Wound complications: wound infection, increased risk of fat liquefaction.
Since the risk of fat girls' surgery is high, then be a healthy and happy fat MM, do not do surgery, but on the contrary, fat MM gynecological surgery has more chances than thin people, because gynecological diseases favor fat MM
Endometrial cancer: thick fat is the processing plant of estrogen, the endometrium is more likely to be diseased, and even malignant, specific reference to our previous articles: "Supergirl" should be more careful of endometrial lesions
Uterine fibroids favor fat MM: it is also a curse of fat
Fat MM is prone to three highs: three highs are closely related to gynecological malignant tumors
Obese polycystic ovary syndrome: ovulation disorders, increased endometrial lesions
Obese infertility, the risk of adverse pregnancy outcomes is increased.
Therefore, for their own health, or do not be a fat MM, those so-called healthy fat people, happy fat people are deceitful, because obesity itself is a disease, and obesity is also closely related to a variety of problems. Think about it: will a fat man with a disease be healthy and happy?
Text | Gao Zhenyan
Audit | Fang Xuhong