A2 Refereed review article in a scientific journal
Concomitant Panniculectomy in Abdominal Wall Reconstruction : A Narrative Review Focusing on Obese Patients
Authors: Giordano Salvatore, Salval Andre', Oranges Carlo Maria
Publisher: MPDI
Publication year: 2024
Journal: Clinics and Practice
Journal name in source: Clinics and Practice
Volume: 14
Issue: 2
First page : 653
Last page: 660
ISSN: 2039-7283
eISSN: 2039-7283
DOI: https://doi.org/10.3390/clinpract14020052
Web address : https://www.mdpi.com/2039-7283/14/2/52
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/393333981
The global prevalence of obesity continues to rise, contributing to an increased frequency of abdominal wall reconstruction procedures, particularly ventral hernia repairs, in individuals with elevated body mass indexes. Undertaking these operations in obese patients poses inherent challenges. This review focuses on the current literature in this area, with special attention to the impact of concomitant panniculectomy. Obese individuals undergoing abdominal wall reconstruction face elevated rates of wound healing complications and hernia recurrence. The inclusion of concurrent panniculectomy heightens the risk of surgical site occurrences but does not significantly influence hernia recurrence rates. While this combined approach can be executed in obese patients, caution is warranted, due to the higher risk of complications. Physicians should carefully balance and communicate the potential risks, especially regarding the increased likelihood of wound healing complications. Acknowledging these factors is crucial in shared decision making and ensuring optimal patient outcomes in the context of abdominal wall reconstruction and related procedures in the obese population.
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