The Safety of Pelvic Surgery in the Morbidly Obese With and Without Combined Panniculectomy

Abstract

Our findings, in contrast to previous findings, reveal that panniculectomy combined with pelvic surgery in the morbidly obese is a safe procedure that can decrease the incidence of intraoperative complications and postoperative wound complications without significantly increasing operative time or blood loss.

Outcomes and Safety of the Combined Abdominoplasty-Hysterectomy: A Preliminary Study

“…More recently, most groups believe that a combined ABP-HYS is safe and does not have any increase in complication rates when compared to ABP and HYS on separate dates [1,[6][7][8][9][10]. One study even showed that concurrent ABP and panniculectomy with pelvic surgery in the morbidly obese had a lower incidence of wound infection and blood loss than pelvic surgery alone [18]. The present study provides the largest analysis of the outcomes and safety of combined ABP-HYS procedures published to date.…”

Hysterectomy with Concurrent Panniculectomy

“…2 In addition, performing a panniculectomy decreases the incidence of wound issues, because most morbidly obese women are unable to maintain proper hygiene of the lower abdominal area and develop chronic maceration and intertrigo under the overhanging skin fold. 3,7 The data indicate that there is no significant difference in complications between those who chose to undergo a combined panniculectomy and hysterectomy compared to hysterectomy alone. There was, however, an extended length of stay in patients undergoing the combined procedure approach.…”

“…They also found that combined procedures reduced the incidence of intraoperative complications and postoperative wound complications without significantly increasing operative time or blood loss. 7 We chose not to include a panniculectomyonly group in our study because we believe that the panniculectomy is adjunct to the gynecologic procedure. The risks and complications of panniculectomy alone have been well described in the literature.…”

Perioperative morbidity associated with medically necessary panniculectomy in gynecologic oncology surgery

“…Among all of the patients who underwent panniculectomy in the studies listed in Table 4, the overall average wound complication rate was 17.1%. Four of those studies also included control populations of obese patients undergoing surgery by standard laparotomy [9,15,19,20]. The incidence of wound infections in the control patients ranged from 21.4% to 31.5%, with an overall combined incidence of 32.1%.…”