Date of Presentation

5-2-2019 12:00 AM

College

School of Osteopathic Medicine

Poster Abstract

Purpose: Panniculectomy is a common procedure in plastic surgery, often performed following massive weight loss and in morbidly obese patients. It can be performed in combination with various gynecologic procedures based on the rational that it will reduce complication rates.1, 2, 3 These studies fail to provide proof of these claims for reasons including study design and the lack of inclusion of both morbidly obese and non-morbidly obese patients. Recent medical practice has focused increasingly on minimizing patient morbidity and trends in reimbursement are moving towards penalizing practices which increase complications.

Methods/Results:We reviewed the NSQIP database to assess the association of complications with panniculectomy combined with gynecologic surgery. The query identified 296 patients with a BMI > 30 who had panniculectomy concomitant with gynecologic surgery. The results demonstrated a statistically significant relationship (P

Our review of NSQIP and the existing literature does not support the premise that there is a statistically significant benefit to patients of performing panniculectomy in conjunction with gynecologic surgery in the morbidly obese patient population. In the light of the risks to patients and current direction of medical practice the addition of elective panniculectomy to gynecologic surgery should be re-considered in the morbidly obese patient population.

Keywords

panniculectomy, plastic surgery, gynecologic procedures, morbid obesity, patient morbidity

Disciplines

Health Services Research | Integumentary System | Medicine and Health Sciences | Obstetrics and Gynecology | Pathological Conditions, Signs and Symptoms | Plastic Surgery | Skin and Connective Tissue Diseases | Surgery

Document Type

Poster

COinS
 
May 2nd, 12:00 AM

Panniculectomy Performed in Conjunction with Gynecologic Surgery in the Morbidly Obese Patient - a NSQIP Analysis and Meta-Analysis of the Literature

Purpose: Panniculectomy is a common procedure in plastic surgery, often performed following massive weight loss and in morbidly obese patients. It can be performed in combination with various gynecologic procedures based on the rational that it will reduce complication rates.1, 2, 3 These studies fail to provide proof of these claims for reasons including study design and the lack of inclusion of both morbidly obese and non-morbidly obese patients. Recent medical practice has focused increasingly on minimizing patient morbidity and trends in reimbursement are moving towards penalizing practices which increase complications.

Methods/Results:We reviewed the NSQIP database to assess the association of complications with panniculectomy combined with gynecologic surgery. The query identified 296 patients with a BMI > 30 who had panniculectomy concomitant with gynecologic surgery. The results demonstrated a statistically significant relationship (P

Our review of NSQIP and the existing literature does not support the premise that there is a statistically significant benefit to patients of performing panniculectomy in conjunction with gynecologic surgery in the morbidly obese patient population. In the light of the risks to patients and current direction of medical practice the addition of elective panniculectomy to gynecologic surgery should be re-considered in the morbidly obese patient population.

 

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