TY - JOUR
T1 - Panniculectomy and abdominoplasty in patients undergoing gynecologic surgery
T2 - A single center case series of 15 combined procedures
AU - Wallace, Scott A.
AU - Mericli, Alexander F.
AU - Taylor, Peyton T.
AU - Drake, David B.
PY - 2013/7
Y1 - 2013/7
N2 - The current obesity epidemic poses significant challenges to surgical specialists striving to safely and effectively deliver medical care. In the United States, approximately 33.3% of men and 35.3% of women are classified as obese. Pelvic surgery, especially in patients with gynecological malignancies and those who require complex surgical procedures carries additional risk because of the increased technical difficulty posed by excess abdominal wall tissues and increased difficulty in providing and maintaining exposure of the appropriate pelvic anatomy. Simultaneous panniculectomy or abdominoplasty in selected patients may provide better access and visualization of the surgical field, reduce operative difficulty, and decrease perioperative morbidity. We retrospectively reviewed our experience in 15 patients undergoing panniculectomy or abdominoplasty in conjunction with gynecologic surgery. This review was conducted after approval by the local institutional review board. Complications were analyzed, and 2 (13%) of the 15 patients were found to have major complications. The only statistically significant finding for prediction of a negative outcome was an association of hypertension and advanced age with increased risk of postoperative transfusion (P < 0.02).
AB - The current obesity epidemic poses significant challenges to surgical specialists striving to safely and effectively deliver medical care. In the United States, approximately 33.3% of men and 35.3% of women are classified as obese. Pelvic surgery, especially in patients with gynecological malignancies and those who require complex surgical procedures carries additional risk because of the increased technical difficulty posed by excess abdominal wall tissues and increased difficulty in providing and maintaining exposure of the appropriate pelvic anatomy. Simultaneous panniculectomy or abdominoplasty in selected patients may provide better access and visualization of the surgical field, reduce operative difficulty, and decrease perioperative morbidity. We retrospectively reviewed our experience in 15 patients undergoing panniculectomy or abdominoplasty in conjunction with gynecologic surgery. This review was conducted after approval by the local institutional review board. Complications were analyzed, and 2 (13%) of the 15 patients were found to have major complications. The only statistically significant finding for prediction of a negative outcome was an association of hypertension and advanced age with increased risk of postoperative transfusion (P < 0.02).
KW - abdominoplasty
KW - endometrial cancer
KW - gynecologic surgery
KW - gynecology
KW - hysterectomy
KW - malignancy
KW - obesity
KW - ovarial cancer
KW - ovarian cancer
KW - panniculectomy
KW - plastic and reconstructive surgery
KW - plastic surgery
KW - reconstructive surgery
UR - http://www.scopus.com/inward/record.url?scp=84880752329&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84880752329&partnerID=8YFLogxK
U2 - 10.1097/SAP.0b013e31824143b7
DO - 10.1097/SAP.0b013e31824143b7
M3 - Review article
C2 - 23364668
AN - SCOPUS:84880752329
SN - 0148-7043
VL - 71
SP - 88
EP - 92
JO - Annals of Plastic Surgery
JF - Annals of Plastic Surgery
IS - 1
ER -