Related Experiment Video
Updated: Aug 22, 2026
Deep Neuromuscular Blockade Leads to a Larger Intraabdominal Volume During Laparoscopy
Published on: June 25, 2013
Laparoscopy in morbidly obese patients
R Pasic1, R L Levine, W M Wolf
1Department of Obstetrics and Gynecology, University of Louisville, School of Medicine, 550 South Jackson Street, Louisville KY 40202, USA.
Study Objective:
To assess the safety and efficacy of different insufflation methods in morbidly obese women undergoing laparoscopy.
Design:
Retrospective analysis of 13 years' experience (Canadian Task Force classification II-2).
Setting:
University-affiliated hospital.
Patients:
One hundred thirty-eight morbidly obese women (weight >250 lbs, body mass index >36). The heaviest patient weighed 400 lbs and had a body mass index of 66.
Intervention:
Laparoscopic tubal sterilizations and diagnostic laparoscopies performed on an outpatient basis by residents under faculty supervision.
Measurements And Main Results:
Of 138 patients, 36 underwent standard transumbilical insufflation with 5 failures, 83 had transuterine insufflation with 3 failures, 12 had subcostal insufflation with 1 failure, and 7 had open laparoscopy with 2 failures.
Conclusion:
The insufflation failure rate was significantly high for transumbilical insufflation and open laparoscopy, and not for transuterine or subcostal insufflation. Morbid obesity was not a contraindication to laparoscopy. (J Am Assoc Gynecol Laparosc 6(3):307-312, 1999)
More Related Videos
08:26Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
06:46Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
Published on: January 9, 2026
