Comorbidities

Comorbidities like obesity, diabetes and chronic obstructive pulmonary disease (COPD) play an important role for the peri- and postoperative course and management of a hysterectomy. In most cases the laparoscopic technique is favoured compared to conventional techniques in patients with the previous mentioned risk factors. However, severe obesity in combination with COPD is itself a limiting factor for a laparoscopic approach to hysterectomy. The presence of deep infiltrating endometriosis in patients with an indication for hysterectomy requires a preparation technique equivalent to the surgical technique of radical hysterectomy. These technically difficult and complex interventions should be performed in centres with great surgical expertise. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

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