Dealing with the Mass: a New Approach to Facilitate Panniculectomy in Patients with Very Large Abdominal Aprons

Overview

Journal Obes Surg

Date 2008 Jul 24

PMID 18648894

Citations 7

Authors

Matthias A Reichenberger

Alexander Stoff

Dirk F Richter

Affiliations

Soon will be listed here.

Abstract

Background: Panniculectomy surgery is performed to remove a massive pannus, or abdominal apron, which frequently contributes to a number of health concerns. The resection of such a massive abdominal panniculus is technically difficult due to the weight of the tissue and the difficulty in handling it during surgery.

Methods: We performed a retrospective review on 20 morbidly obese patients (14 male, six female) who underwent a panniculectomy with a resection weight of >6 kg between November 2003 and November 2007 at our department.

Results: The patients' weight ranged from 90 to 240 kg, with a mean weight of 157.6 kg. The redundant pannus weighed from 6.8 to 60.0 kg. Uncomplicated healing occurred in 55% of cases. Further complications were not observed.

Conclusions: The treatment of a massive panniculus requires a multitask management considering optimal conditions for the surgeon and patient. Based on our experience from 20 patients over 4 years, we are able to present our standardized and improved technique using a mechanical lift and a tumescent solution to facilitate this procedure.

Citing Articles

Panniculus, giant hernias and surgical problems in patients with morbid obesity.

Hillenbrand A, Henne-Bruns D, Wolf A GMS Interdiscip Plast Reconstr Surg DGPW. 2015; 1:Doc05.

PMID: 26504689 PMC: 4582477. DOI: 10.3205/iprs000005.

Mental and physical impact of body contouring procedures on post-bariatric surgery patients.

Singh D, Zahiri H, Janes L, Sabino J, Matthews J, Bell R Eplasty. 2012; 12:e47.

PMID: 22993645 PMC: 3443403.

Prognostication for body contouring surgery after bariatric surgery.

Singh D, Forte A, Zahiri H, Janes L, Sabino J, Matthews J Eplasty. 2012; 12:e46.

PMID: 22993644 PMC: 3443410.

An integrated therapy concept for reduction of postoperative complications after resection of a panniculus morbidus.

Koulaxouzidis G, Goerke S, Eisenhardt S, Lampert F, Stark G, Foeldi E Obes Surg. 2011; 22(4):549-54.

PMID: 22108809 DOI: 10.1007/s11695-011-0561-4.

Glycosaminoglycans of abdominal skin after massive weight loss in post-bariatric female patients.

Veiga D, Bussolaro R, Kobayashi E, Medeiros V, Martins J, Garcia E Obes Surg. 2011; 21(6):774-82.

PMID: 21479977 DOI: 10.1007/s11695-011-0405-2.

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