Panniculus, giant hernias and surgical problems in patients with morbid obesity.
Prevalence of morbid obesity is rising. Along with it, the adipose associated co-morbidities increase - included panniculus morbidus, the end stage of obesity of the abdominal wall. In the course of time panniculus often develop a herniation of bowel. An incarcerated hernia and acute exacerbation of a chronic inflammation of the panniculus must be treated immediately and presents a surgical challenge. The resection of such massive abdominal panniculus presents several technical problems to the surgeon. Preparation of long standing or fixed hernias may require demanding adhesiolysis. The wound created is huge and difficult to manage, and accompanied by considerable complications at the outset. We provide a comprehensive overview of a possible approach for panniculectomy and hernia repair and overlook of the existing literature.
Universitätsklinikum Ulm, Klinik für Allgemein-, Viszeral- u. Transplantationschirurgie, Ulm, Germany.
Andreas
A
Hillenbrand
Universitätsklinikum Ulm, Klinik für Allgemein-, Viszeral- u. Transplantationschirurgie, Ulm, Germany.
Doris
D
Henne-Bruns
Universitätsklinikum Ulm, Klinik für Allgemein-, Viszeral- u. Transplantationschirurgie, Ulm, Germany.
Anna M
AM
Wolf
incarcerated hernia; morbid obesity; panniculus; panniculus resection