Panniculectomy with bariatric surgery in super morbid obesity patients

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dc.contributor.authorPeksen, Caghan
dc.contributor.authorAktokmakyan, Talar Vartanoglu
dc.contributor.authorSavas, Osman Anil
dc.contributor.authorOkyay, Ozan
dc.contributor.authorDatli, Asli
dc.contributor.authorElmali, Necat
dc.contributor.authorSumer, Aziz
dc.date.accessioned2024-05-19T14:39:16Z
dc.date.available2024-05-19T14:39:16Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractOBJECTIVE: Panniculitis is an inflammation of the subcutaneous fat common in patients defined as super-super obese (>60 kg/m2). Poor hygiene and skin infections are common in the super morbidly obese group due to impaired metabolism of subcutaneous fat tissue, especially at abdominal folding. In our study, we will discuss the short-term results of panniculitis that develops as a result of these, simultaneously with bariatric surgery. MATERIAL AND METHODS: In our study, six super morbid obese patients with Body Mass Index (BMI) of 80 kg/m(2), 77 kg/m(2), 74 kg/m(2), 72 kg/m(2), 68 kg/m(2), 65 kg/m(2), respectively, and sub umbilical skin tissue panniculitis were evaluated. These patients underwent bariatric surgery as a result of the obesity council decision. In the preoperative evaluation of the patients, it was observed that the blood supply to the subcutaneous fat tissues under the umbilicus was impaired, and the dermis/epidermis was hypertrophied. RESULTS: Mean BMI of patients 73 kg/m(2). Sleeve Gastrectomy (SG) was performed in 4 patients, Mini Gastric Bypass (MGB) was performed in 1 patient, and modified transit bipartition was performed in 1 patient. Infected erythematous lesions were detected on the skin secondary to ischemia, especially in some areas. After the patients performed the operations, a panniculectomy of approximately 70x30x20 cm was performed from under the umbilicus to the transverse line and up to the fascia. CONCLUSION: Panniculectomy and bariatric surgery are recommended in the appropriate patient group. Extensive prospective studies are required to define further the burden of infectious morbidity and mortality conferred by obesity.en_US
dc.identifier.endpage4en_US
dc.identifier.issn0003-469X
dc.identifier.issn2239-253X
dc.identifier.startpage1en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4743
dc.identifier.volume12en_US
dc.identifier.wosWOS:001166248700001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherEdizioni Luigi Pozzien_US
dc.relation.ispartofAnnali Italiani Di Chirurgiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectBariatric Surgeryen_US
dc.subjectObesityen_US
dc.subjectPanniculectomyen_US
dc.titlePanniculectomy with bariatric surgery in super morbid obesity patientsen_US
dc.typeArticleen_US

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