Abstract
Obesity is a big problem which is growing. Thus clinicians and surgeons are likely to treat obese patients more frequently. Obesity can affect medical practice in a number of ways. In order to protect ourselves from potential litigation, we need to focus on risk management efforts on creating a safe environment for patients of all sizes. The aim of our study was to review the risk management strategies of obese women prior to surgery, perioperatively and following surgery. We then identified the strategies and have brought them forward in our article.
Highlights
Obesity is defined as an excess of adipose tissue [1]
Mokdad et al [7] found an almost doubling in incidence of obesity in women in the USA in a 10 year period from 1991-2001.The prevalence of obesity is increasing and about one third of the population of the industrialised countries is at least 20% overweight [8]
As we have identified that obese women undergoing surgery are at risk, we should allow interventions that aim to eliminate, or at least minimise, pre and post operative surgical complications and improve patient outcome ; the need for risk management
Summary
Obesity is defined as an excess of adipose tissue [1]. In 1997, the WHO attempted to standardise the definition of obesity as a BMI above 30 kg/m2 [2]. Mokdad et al [7] found an almost doubling in incidence of obesity in women in the USA in a 10 year period from 1991-2001.The prevalence of obesity is increasing and about one third of the population of the industrialised countries is at least 20% overweight [8]. (2014) Risk Management of Obese Women Undergoing Major Gynaecological Surgery. As we have identified that obese women undergoing surgery are at risk, we should allow interventions that aim to eliminate, or at least minimise, pre and post operative surgical complications and improve patient outcome ; the need for risk management. Though having a protocol or guideline for management of obese women is useful yet each case should be individualised. As usually the General Practitioner refers the patients who might need operating upon they should stress the importance of weight loss prior to referral.
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