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Panniculectomy Procedure in Beverly Hills
By admin | January 18, 2012
PANNICULECTOMY CASE STUDY
This case study shows a representative patient who presents with massive abdominal pannus, status post significant weight loss, status post gastric bypass surgery. The patient has lost well over 120 pounds and now has significant amounts of skin with a massive abdominal pannus. A panniculectomy can be performed in order to reduce the massive skin apron or pannus. It also is helpful as a functional surgery to reduce the mid and lower back pain in a similar fashion as to a breast reduction that reduces back pain from the upper back and the cervical region. This patient also presented with intertriginous rashes for over six months with dermatitis, contact dermatitis and tinea fungal infections. She was cleared by her internist, rheumatologist, orthopedic surgery as well as dermatologist for contact dermatitis and fungal infections.
She underwent a panniculectomy under general anesthesia using an endotracheal tube, given Ancef intravenously with no history of penicillin allergies. The panniculectomy was completely resected. The abdominal wall was tightened in the midline conservatively using O-Ethibond sutures. The massive skin was then redraped, excised and sutured down the edges of the wound with three large 10 mm JP drains placed for at least 7 to 10 days. Liposculpturing of the iliac crest rolls was accomplished to reduce the lateral fullness of the hip area.
Patients do particularly well with paniculectomies when they have a massive abdominal pannus or apron after a significant weight loss, either through lap band, gastric bypass surgery or simple exercise and dietary routines.
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