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Combined Oocyte Retrieval and Robot-assisted Hysterectomy in a Super Morbidly Obese Patient with Endometrial Carcinoma
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Combined Oocyte Retrieval and Robot-assisted Hysterectomy in a Super Morbidly Obese Patient with Endometrial Carcinoma
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Journal Article
Combined Oocyte Retrieval and Robot-assisted Hysterectomy in a Super Morbidly Obese Patient with Endometrial Carcinoma
2018
Overview
To report on the unique, innovative management of a super morbidly obese patient presenting for fertility preservation in the setting of Grade 2 endometrioid endometrial adenocarcinoma.
A back-to-back oocyte retrieval and robot-assisted total laparoscopic hysterectomy (RA-TLH) with bilateral salpingo-oophorectomy (BSO) was performed in a 37-year-old nulligravid woman with super morbid obesity (BMI 63 kg/m
) with endometrial cancer.
the successful retrieval of oocytes for fertility preservation and oncologic intervention via RA-TLH with BSO in the same operative and anesthetic episode.
This combined procedure strategy was successful in our case and is a feasible option for similar high-risk patients in the future.
Identifying safe and effective approaches for oocyte retrieval in morbidly obese patients represents a pressing need as obesity rates rise among reproductive-aged women. Back-to-back oocyte retrieval and RA-TLH with BSO are not only feasible, but could also decrease significant anesthetic risks for morbidly obese patients.
Publisher
International Institute of Anticancer Research
Subject
/ Adult
/ Biopsy
/ Cancer
/ Carcinoma, Endometrioid - complications
/ Carcinoma, Endometrioid - surgery
/ Endometrial Neoplasms - complications
/ Endometrial Neoplasms - surgery
/ Female
/ Humans
/ Obesity
/ Obesity, Morbid - complications
/ Oocytes
/ Ovaries
/ Patients
/ Robotics
/ Robots
/ Surgery
/ Vagina
