Abdominal Lipectomy: A Prospective Outcomes Study

Nb, Semer; Wc, Ho; Mills, Sarah D.; Rajashekara, B; Taylor, Simon; Nb, Trung; Young, Honor; Kivuls, J

doi:10.7812/tpp/07-114

Cited by 8 publications

(2 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is indicated in cases of an important panniculus (grade 3 or overhanging panniculus) and symptomatic [ 20 ], that is to say associated with a severe skin infection or persistent ulceration despite conventional treatment. It may be the first step of a digestive or gynecological abdominal surgery requiring a sufficient operative exposure or to facilitate access to the abdominal cavity [ 16 , 21 ]. In our case, it was carried out as part of the management of a persistent and sustained SSI by maceration induced by the excessive adipose panniculus.…”

Section: Discussionmentioning

confidence: 99%

Panniculectomy as a surgical option for the management of a deep surgical site infection after C-section in a morbidly obese woman: a case report

Kamla¹,

Bwelle

Tochie

et al. 2023

Patient Saf Surg

View full text Add to dashboard Cite

Background Obesity is an independent risk factor for the occurrence of surgical site infections (SSIs) following all types of surgeries, especially after Caesarean section (C-section). SSIs increase postoperative morbidity, health economic cost and their management is quiet complex with no universal therapeutic consensus. Herein, we report a challenging case of a deep SSI after C-section in a central morbidly obese woman managed successfully by panniculectomy. Case presentation A 30-year-old black African pregnant woman with marked abdominal panniculus extending to the pubic area, a waist circumference = 162 cm and BMI = 47.7 kg/m2 underwent an emergency CS indicated for acute fetal distress. By day five post-operation, she developed a deep parietal incisional infection unremitting to antibiotic therapy, wound dressings and beside wound debridement till the 26th postoperative day. A large abdomen panniculus and maceration of the wound enhanced by central obesity increased the risk of failure of spontaneous closure; thus, an abdominoplasty by panniculectomy was indicated. The patient underwent panniculectomy on the 26th day after the initial surgery and her post-operative course was uneventful. Wound esthetics was satisfactory three months later. Adjuvant dietary and psychological management were associated. Conclusion Post-Caesarean deep SSI is a frequent complication in obese patients. A panniculectomy may be a safe and promising therapeutic surgical option with good cosmetic results and little postoperative complications when used in a multidisciplinary anti-obesogenic approach.

show abstract

Section: Discussionmentioning

confidence: 99%

Panniculectomy as a surgical option for the management of a deep surgical site infection after C-section in a morbidly obese woman: a case report

Kamla¹,

Bwelle

Tochie

et al. 2023

Patient Saf Surg

View full text Add to dashboard Cite

show abstract

“…La paniculectomía masiva mejora la calidad de vida y la funcionalidad de los pacientes 3 ; sin embargo, la tasa de complicaciones oscila entre el 15 y el 80 %, fundamentalmente relacionada con la pér-dida de sangre y fluidos, y las complicaciones de la herida 5 . A esto hay que añadir los problemas técnicos del procedimiento, que precisa la elevación del faldón abdominal gigante para la correcta visualización y ejecución quirúrgica segura.…”

Section: Introductionunclassified

Paniculectomía masiva en lipodistrofia abdominal gigante: cuando el beneficio supera los riesgos

Vico¹,

Sanz²,

Ruiz³

et al. 2017

Rev Hispanoam Hernia

View full text Add to dashboard Cite

Describimos un caso de paniculectomía masiva en paciente con lipodistrofia abdominal severa. La mayor hasta la fecha realizada en nuestro servicio.Caso clínico: Varón de 79 años con un IMC de 45.9 kg/m 2 que presentaba un faldón abdominal severo que llegaba a la altura de las rodillas con importante afectación cutánea (intertrigo, edema, úlceras) y limitación funcional. Se llevó a cabo paniculectomía masiva conservadora con resección de 20 kg de tejido abdominal. Presentó una complicación mayor por hematoma que requirió revisión quirúrgica y complicaciones menores relacionadas con la herida que se resolvieron satisfactoriamente.Discusión: La paniculectomía masiva supone una mejoría funcional significativa y una mayor calidad de vida en los pacientes con lipodistrofia abdominal. Sin embargo, la tasa de complicaciones es elevada y se requiere una correcta planificación, ejecución quirúrgica y manejo perioperatorio para optimizar los resultados.Conclusión: La paniculectomía se presenta como la única opción viable, no exenta de complicaciones, para la reducción del faldón abdominal en casos severos de obesidad mórbida o tras pérdidas masivas de peso.

show abstract

Tension Suture Technique Combined with Lidocaine-Adrenaline-Saline Infiltration Decreases Complications and Promotes Recovery in Abdominoplasty

Salmi

2016

Aesthetic Plastic Surgery of the Abdomen

View full text Add to dashboard Cite

Abdominal Lipectomy: A Prospective Outcomes Study

Cited by 8 publications

References 17 publications

Panniculectomy as a surgical option for the management of a deep surgical site infection after C-section in a morbidly obese woman: a case report

Panniculectomy as a surgical option for the management of a deep surgical site infection after C-section in a morbidly obese woman: a case report

Paniculectomía masiva en lipodistrofia abdominal gigante: cuando el beneficio supera los riesgos

Tension Suture Technique Combined with Lidocaine-Adrenaline-Saline Infiltration Decreases Complications and Promotes Recovery in Abdominoplasty

Contact Info

Product

Resources

About