RT Book, Section A1 Angell, Norman F. A2 Silverman, Robert K. SR Print(0) ID 1139759136 T1 Minimally Invasive Surgery and Surgical Approach T2 Obesity Medicine: Management of Obesity in Women's Health Care YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9780071843515 LK obgyn.mhmedical.com/content.aspx?aid=1139759136 RD 2024/03/28 AB Obesity is a major surgical obstacle. Obesity not only decreases access to the surgical field but also alters the anatomical relationships between the abdominal wall and the abdomen. The surgeon must understand not only anatomy in normal-weight women but also how obesity alters normal anatomy. Obesity affects the choice of incisions, size of incisions, closure of incisions, and choice of instruments (retractors, long instruments, etc.). Obesity affects these decisions about open surgery and minimally invasive surgery (MIS).