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Concomitant Panniculectomy in Abdominal Wall Reconstruction : A Narrative Review Focusing on Obese Patients




TekijätGiordano Salvatore, Salval Andre', Oranges Carlo Maria

KustantajaMPDI

Julkaisuvuosi2024

JournalClinics and Practice

Tietokannassa oleva lehden nimiClinics and Practice

Vuosikerta14

Numero2

Aloitussivu653

Lopetussivu660

ISSN2039-7283

eISSN2039-7283

DOIhttps://doi.org/10.3390/clinpract14020052

Verkko-osoitehttps://www.mdpi.com/2039-7283/14/2/52

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/393333981


Tiivistelmä
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.

Ladattava julkaisu

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Last updated on 2024-26-11 at 21:06