Simultaneous Bariatric Surgeries in Females with Neoplasm of the Reproductive System and Morbid Obesity

Abstract

Introduction. The frequency of occurrence of morbid obesity and neoplasms of the female reproductive system is very high and these conditions aggravate each other. Therefore, it is relevant to simultaneously perform laparoscopic bariatric operations and radical interventions for benign and malignant tumors of the female reproductive system in such cases. The experience of such simultaneous interventions is still small and in the available literature is limited to the description of single cases. The primary issues are the fundamental possibility of combining the two stages in one operation, the technical aspects of such interventions, and the assessment of perioperative safety and immediate results.The aim of the study was to create a technique of simultaneous surgical treatment of the pelvic organs neoplasms and morbid obesity in females, to assess the perioperative safety and immediate results of such simultaneous operations.Methods. The authors present their experience and the first results of simultaneous laparoscopic sleeve gastrectomy and hysterectomies in 9 women with malignant and benign neoplasms of female genitals, suffering from morbid obesity. A method of simultaneous combined surgical treatment of neoplasms of female genitals and morbid obesity has been developed and described.Results. The proposed technique allowed performing two interventions during one procedure in a minimum time, technically in the simplest way without additional complications and risks. The duration of simultaneous operations averaged 162.7 21.8 min., the average blood loss was 247.6 31.0 ml, the pain syndrome on the first day was moderately expressed, no serious complications were observed.Conclusions. The results obtained demonstrated that the morbidity and perioperative safety of simultaneous operations are comparable to those with separate performance of such operations with certain benefits.