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.
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 obesepatients (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.
Authors: Daniela Francescato Veiga; Rodolpho A Bussolaro; Elsa Y Kobayashi; Valquíria P Medeiros; João R M Martins; Elvio B Garcia; Neil F Novo; Helena B Nader; Lydia M Ferreira Journal: Obes Surg Date: 2011-06 Impact factor: 4.129
Authors: Devinder Singh; Antonio J V Forte; Hamid R Zahiri; Lindsay E Janes; Jennifer Sabino; Jamil A Matthews; Robert L Bell; J Grant Thomson Journal: Eplasty Date: 2012-09-12
Authors: Devinder Singh; Hamid R Zahiri; Lindsay E Janes; Jennifer Sabino; Jamil A Matthews; Robert L Bell; J Grant Thomson Journal: Eplasty Date: 2012-09-12