Massive panniculectomy results in improved functional outcome.
BACKGROUND
Panniculus morbidus is a large abdominal apron found in morbidly obese patients. This condition creates a vicious cycle of weight gain and functional incapacity. Our study assessed the functional improvement in patients undergoing massive panniculectomy.


METHODS
A retrospective review of panniculectomies performed from 1994 to 2012 was conducted. Twenty-seven patients with resections >20 lbs were selected. Data on demographics, operative details, complications, and pre- and postoperative functional capacity (using the Steinbrocker Functional Classification) were collected.


RESULTS
The preoperative mean body mass index was 58 kg/m(2), with a mean resection weight of 33 lbs. The overall complication rate was 74%. A statistically significant improvement in functional capacity (preop mean 3.7 vs postop mean 2.0; P < .0001) was identified.


CONCLUSIONS
Panniculus morbidus is a functionally debilitating condition and massive panniculectomy is often the only treatment available. Our data suggest that massive panniculectomy is a viable option for patients functionally incapacitated by panniculus morbidus.
Department of General Surgery, University of Illinois College of Medicine at Peoria, Peoria, IL, USA.
Chadrick
C
Evans
Department of General Surgery, University of Illinois College of Medicine at Peoria, Peoria, IL, USA. Electronic address: jdebord@peoriasurgical.com.
James
J
Debord
Department of General Surgery, University of Illinois College of Medicine at Peoria, Peoria, IL, USA.
Heather
H
Howe
Department of General Surgery, University of Illinois College of Medicine at Peoria, Peoria, IL, USA.
John Stephen
JS
Marshall
Department of General Surgery, University of Illinois College of Medicine at Peoria, Peoria, IL, USA.
Thomas
T
Rossi
Department of General Surgery, University of Illinois College of Medicine at Peoria, Peoria, IL, USA.
Michael
M
Owolabi
D061645:Abdominoplasty; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D056128:Obesity, Abdominal / Q000601:surgery*; D009767:Obesity, Morbid / Q000601:surgery*; D020127:Recovery of Function; D012189:Retrospective Studies; D016896:Treatment Outcome
Functional capacity; Massive panniculectomy; Obesity; Panniculus morbidus