Karem C Harth1, Jeffrey A Blatnik, Michael J Rosen. 1. Department of Surgery, University Hospitals Case Medical Center, Case Western Reserve School of Medicine, Cleveland, OH, USA. karem.harth@uhhospitals.org
Abstract
BACKGROUND: The appropriate surgical management of morbidly obese patients with symptomatic hernias is not well defined. The authors evaluated the role of simultaneous panniculectomy in complex abdominal wall reconstruction. METHODS: A retrospective study (2007-2010) was conducted of morbidly obese (body mass index > 40 kg/m(2)) patients undergoing open complex abdominal wall reconstruction. RESULTS: Thirty patients were identified. Twenty underwent simultaneous panniculectomy. The median pannus weight was 5.2 kg. Greater all-cause postoperative complications and wound-related morbidity occurred in the panniculectomy group (P < .05). Performing a panniculectomy increased the risk for a wound complication by 5-fold (P = .04). Following 7-month to 9-month follow-up, both groups had a recurrence rate of 10%. CONCLUSION: Simultaneous panniculectomy in the setting of complex abdominal wall reconstruction is feasible but associated with significant postoperative morbidity. Its potential for benefit in reducing long-term hernia recurrence remains unclear.
BACKGROUND: The appropriate surgical management of morbidly obesepatients with symptomatic hernias is not well defined. The authors evaluated the role of simultaneous panniculectomy in complex abdominal wall reconstruction. METHODS: A retrospective study (2007-2010) was conducted of morbidly obese (body mass index > 40 kg/m(2)) patients undergoing open complex abdominal wall reconstruction. RESULTS: Thirty patients were identified. Twenty underwent simultaneous panniculectomy. The median pannus weight was 5.2 kg. Greater all-cause postoperative complications and wound-related morbidity occurred in the panniculectomy group (P < .05). Performing a panniculectomy increased the risk for a wound complication by 5-fold (P = .04). Following 7-month to 9-month follow-up, both groups had a recurrence rate of 10%. CONCLUSION: Simultaneous panniculectomy in the setting of complex abdominal wall reconstruction is feasible but associated with significant postoperative morbidity. Its potential for benefit in reducing long-term hernia recurrence remains unclear.
Authors: C E Hutchison; I A Rhemtulla; J T Mauch; R B Broach; F A Enriquez; J A Hernandez; C A Messa; N N Williams; S P Harbison; J P Fischer Journal: Hernia Date: 2019-08-16 Impact factor: 4.739
Authors: S C Diaconu; C H L McNichols; L M Ngaage; Y Liang; E Ikheloa; J Bai; M P Grant; A J Nam; Y M Rasko Journal: Hernia Date: 2018-12-17 Impact factor: 4.739
Authors: P D Colavita; B A Wormer; I Belyansky; A Lincourt; S B Getz; B T Heniford; V A Augenstein Journal: Hernia Date: 2015-08-18 Impact factor: 4.739