RCOG World Congress 2023

EFFECT OF MULTIMODAL PREHABILITATION ON SURGICAL OUTCOMES IN OBESE WOMEN UNDERGOING OPEN ELECTIVE GYNECOLOGICAL SURGERIES USING MIDLINE VERTICAL INCISION: A PILOT RANDOMIZED CONTROL TRIAL

Obesity is on the rise around the world, and it's known as globesity. It has now become a major public health concern in both developing and industrialized countries.

•2002 an expert WHO consultation panel proposed lowering BMI cutoff to stimulate health actions for Asians, labelling 23–27.5 kg/m2 as overweight and BMI ≥ 27.5 kg/m2 as obese.(1)

•Health problems associated with obesity have been known for ages. Hypertension, dyslipidaemia, coronary artery disease, stroke, gallbladder disease, osteoarthritis, sleep apnea, low quality of life, mental illness like clinical depression, anxiety and mental disorders, and many types of cancers (2).

•Female malignancies associated with obesity comprises nearly 51% of cancers. Breast, ovarian, endometrial cancers are at a rise and their association with obesity is well known (3).

•Perioperative and postoperative complications, morbidity and mortality are high in these patients.

•Route of surgery is to be prudently decided. Difficult access to pelvis, distorted anatomy, difficulty in bowel retraction, excessive blood loss, difficult haemostasis are few major challenges to surgeon.

•The process of enhancing an individual’s functional capacity before scheduled surgery, in aim of improving the patient’s tolerance to upcoming physiologic stress, is prehabilitation (4).

•In the light of the above concerns the objective of this study was to discover the role of prehabilitation in reducing intraoperative and postoperative complications.

RCOG World Congress 2023

Multimodal Prehabilitation and Surgical Outcomes In Obese Women: A Pilot Study

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