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Massive panniculectomy results in improved functional outcome
- Source :
- The American Journal of Surgery. 207:441-444
- Publication Year :
- 2014
- Publisher :
- Elsevier BV, 2014.
-
Abstract
- Background Panniculus morbidus is a large abdominal apron found in morbidly obese patients. This condition creates a vicious cycle of weight gain and functional incapacity. Our study assessed the functional improvement in patients undergoing massive panniculectomy. Methods A retrospective review of panniculectomies performed from 1994 to 2012 was conducted. Twenty-seven patients with resections >20 lbs were selected. Data on demographics, operative details, complications, and pre- and postoperative functional capacity (using the Steinbrocker Functional Classification) were collected. Results The preoperative mean body mass index was 58 kg/m 2 , with a mean resection weight of 33 lbs. The overall complication rate was 74%. A statistically significant improvement in functional capacity (preop mean 3.7 vs postop mean 2.0; P Conclusions Panniculus morbidus is a functionally debilitating condition and massive panniculectomy is often the only treatment available. Our data suggest that massive panniculectomy is a viable option for patients functionally incapacitated by panniculus morbidus.
- Subjects :
- Adult
Male
Steinbrocker functional classification
medicine.medical_specialty
Morbidly obese
Panniculus
Resection
medicine
Panniculectomy
Humans
In patient
Aged
Retrospective Studies
business.industry
Abdominoplasty
Recovery of Function
General Medicine
Middle Aged
medicine.disease
Obesity, Morbid
Surgery
Treatment Outcome
Obesity, Abdominal
Female
medicine.symptom
business
Weight gain
Body mass index
Subjects
Details
- ISSN :
- 00029610
- Volume :
- 207
- Database :
- OpenAIRE
- Journal :
- The American Journal of Surgery
- Accession number :
- edsair.doi.dedup.....96206fc033f5e16901ad58563def640e