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Surgery Research and Practice
Volume 2015 (2015), Article ID 193670, 10 pages
http://dx.doi.org/10.1155/2015/193670
Clinical Study

Panniculectomy Combined with Bariatric Surgery by Laparotomy: An Analysis of 325 Cases

1Plastic Surgery Unit, Casa di Cura Villa Alba, Bologna Medical Center, 40136 Bologna, Italy
2General Surgery Unit, Presidio Ospedaliero Villa Letizia, 67100 L’Aquila, Italy
3General Surgery Unit, Casa di Cura Villa Alba, Bologna Medical Center, 40136 Bologna, Italy

Received 9 June 2015; Revised 10 October 2015; Accepted 18 October 2015

Academic Editor: Ramón Vilallonga

Copyright © 2015 Vincenzo Colabianchi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Surgical treatment of obese patients is much debated in the literature because of the significant intraoperative risks related to comorbidities presented by this type of patients. Recent literature suggests that panniculectomy should follow bariatric surgery after the patient’s weight loss has been stabilized. However, when performed by laparotomy, bariatric surgery can be combined with panniculectomy. This paper presents the analysis of 325 cases of patients undergoing abdominal panniculectomy combined with bariatric surgery. The study highlights the risks, complications, and benefits of the combined procedure and describes a standardized technique for excision of a large abdominal panniculus in a short operating time.