Morbid obesity and laparotomy myomectomy - A case report

Abstract

Myoma uteri have a fairly high incidence in Indonesia and obesity is one of the risk factors. We report 43-yearold woman with complaints of severe abdominal pain during ovulation and menstruation and enlarged lump in the lower abdomen. This case was interesting because the patient is morbidly obese with a BMI (Body Mass Index) of 43 kg/m2. On Vaginal examination, uterine size was found as big as softball and on pelvic ultrasound an uterine mass with a size of 12 ×8 cm was found. The patient then underwent a myomectomy laparotomy operation.The operation outcome was good with no perioperative complications and operating results. Fourteen days after the surgery, wound dehiscence and infection of the post-operative wound appeared.It can be concluded that myomectomy laparotomy surgery in morbidly obese patients is no different from patients with normal BMI in terms of peri-operative complications and operating results, but affects the duration of surgery and wound healing complications.