Medical College of Wisconsin
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Long-term outcome of women who undergo panniculectomy at the time of gynecologic surgery. Gynecol Oncol 2006 Jul;102(1):86-91

Date

01/13/2006

Pubmed ID

16406112

DOI

10.1016/j.ygyno.2005.11.041

Scopus ID

2-s2.0-33744914842 (requires institutional sign-in at Scopus site)   17 Citations

Abstract

OBJECTIVE: While panniculectomy has been shown to be a useful technique in obese women undergoing gynecologic surgery, the long-term outcome of these patients has been poorly described. The goal of this study was to determine the long-term outcomes and patient satisfaction of women who underwent panniculectomy at the time of pelvic surgery.

METHODS: A retrospective review of patients who underwent panniculectomy at the time of pelvic surgery between 1996 and 2004 was performed. Postoperative complications and long-term trends in weight were evaluated. Patient satisfaction was assessed by telephone survey.

RESULTS: Forty-two patients were identified. The mean EBL was 522 ml, the mean operating time was just over 4 h. Wound complications were noted in 36% of the subjects. Two weeks after the procedure, 86% of the women had a weight that was lower than their preoperative weight. Weight loss peaked 3 months postoperatively, 97% of the subjects had a net lower weight, with a mean loss of nearly 20 lb. Over the ensuing 2 years, weight loss gradually declined. After 2 years of follow-up, 62% of the women were below their preoperative body weights. The mean weight loss at 24 months was 7 lb. Overall patient satisfaction with the procedure was high. Eighty-six percent of the subjects responded that they would undergo the procedure again given their outcome.

CONCLUSIONS: Panniculectomy is well tolerated and associated with a high rate of patient satisfaction. Panniculectomy is a valuable component of gynecologic surgery in morbidly obese women.

Author List

Wright JD, Rosenbush EJ, Powell MA, Rader JS, Mutch DG, Gao F, Gibb RK

Author

Janet Sue Rader MD Chair, Professor in the Obstetrics and Gynecology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Abdomen
Adult
Aged
Female
Gynecologic Surgical Procedures
Humans
Hysterectomy
Middle Aged
Obesity
Ovariectomy
Patient Satisfaction
Retrospective Studies
Treatment Outcome