13. Abdominal Surgery in the Morbidly Obese Patient

  1. Deborah L. Conway MD
  1. Ashley Parker MD1 and
  2. Deborah L. Conway MD2

Published Online: 18 FEB 2011

DOI: 10.1002/9781444391183.ch13

Pregnancy in the Obese Woman: Clinical Management

Pregnancy in the Obese Woman: Clinical Management

How to Cite

Parker, A. and Conway, D. L. (2011) Abdominal Surgery in the Morbidly Obese Patient, in Pregnancy in the Obese Woman: Clinical Management (ed D. L. Conway), Blackwell Publishing Ltd., Oxford, UK. doi: 10.1002/9781444391183.ch13

Editor Information

  1. Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Texas School of Medicine, San Antonio, Texas, USA

Author Information

  1. 1

    Department of Obstetrics and Gynecology, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA

  2. 2

    Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Texas School of Medicine, San Antonio, Texas, USA

Publication History

  1. Published Online: 18 FEB 2011
  2. Published Print: 18 MAR 2011

ISBN Information

Print ISBN: 9781405196482

Online ISBN: 9781444391183

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Keywords:

  • abdominal surgery - in morbidly obese patients;
  • cesarean delivery, and increased maternal risk - compared to vaginal delivery;
  • morbidly obese patients, and infectious complications - hypertensive disorders and diabetes mellitus;
  • regional anesthesia, hampering the morbidly obese - inability in palpating landmarks;
  • failed endotracheal intubation for general anesthesia - risks in obese, excessive tissue and thick neck circumference;
  • obese patients, increased volume of distribution - medications in higher doses;
  • abdominal wall anatomy, in morbidly obese patients - quite distorted;
  • obese patients, and cesarean section via Pfannenstiel skin incisions - and absence of postoperative wound infection or major complications;
  • closure of fascia, carefully done in obese woman - preventing incisional hernia;
  • cesarean incisions, and wound hematomas and seromas - frequency in obese patients

Summary

This chapter contains sections titled:

  • Preparation for surgery

  • Anesthetic considerations

  • Antibiotics and other preoperative infection control considerations

  • Approach to the skin incision

  • Closure of fascia

  • Closure of subcutaneous tissue and skin

  • Complications of wounds

  • Other postoperative considerations

  • Conclusions

  • References