Evaluation of extended antibiotic prophylaxis in patients undergoing indicated non‐cosmetic panniculectomy at the time of gynecologic surgery

Patibandla, Jay R.; Kufel, Christina N; Hopkins, Michael P.

doi:10.1002/jso.24970

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…Lymph node yield could be considered as a quantitative method of evaluation of the efficacy of panniculectomy on an improvement in the vision of the surgical field during surgical management of EC. In that setting, a potential increase in the count of resected lymph nodes could indicate the superiority of panniculectomy combined surgery for EC (20). Based on the findings of the present staudy, concerning pelvic lymph node yield, according to Eisenhauer et al the resected lymph node count was significantly increased in patients who also had panniculectomy compared to those who underwent simple laparotomy (25).…”

Section: U N C O R R E C T E D P R O O Fsupporting

confidence: 48%

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Safety and efficacy of synchronous panniculectomy and endometrial cancer surgery in obese patients: a systematic review of the literature and meta-analysis of postoperative complications

Prodromidou

Iavazzo

Psomiadou

et al. 2020

J Turkish German Gynecol Assoc

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Panniculectomy combined gynaecological surgery constitutes an alternative approach for endometrial cancer (EC) in obese patients. The present study aimed to accumulate the current knowledge on the safety and efficacy of combining panniculectomy in surgical management of EC. A total of 4 electronic databases were systematically searched for articles published up to May 2019. A total of 5 studies (2 non-comparative and 3 comparative) were included. Meta-analysis of complications among panniculectomy and conventional laparotomy group revealed no difference in complication rates (intraoperative or postoperative). Moreover, no difference was reported in surgical site complications (p=0.59), while wound breakdown rates were found significantly elevated in laparotomy group (p=0.02). Panniculectomy combined surgery for the management of EC is a safe procedure and presents comparable outcomes to those of conventional laparotomy with regards to complications and improved wound breakdown rates.

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Section: U N C O R R E C T E D P R O O Fsupporting

confidence: 48%

“…Additionally, Cosin et al and Micha et al were not included due to limited patient number (18,19). Finally, in the study by Patibandla et al insufficient data made it not eligible for inclusion (20).…”

Section: Resultsmentioning

confidence: 99%

Safety and efficacy of synchronous panniculectomy and endometrial cancer surgery in obese patients: a systematic review of the literature and meta-analysis of postoperative complications

Prodromidou

Iavazzo

Psomiadou

et al. 2020

J Turkish German Gynecol Assoc

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“…Some authors suggested an extended antibiotic prophylaxis until the removal of drains; however, studies addressing such practice showed contradictory results. 26,27 It is important to counsel patients about the association between high BMI, smoking cessation, and postoperative complications, as both obesity and smoking are modifiable risk factors before panniculectomy. 28 Our study has some limitations, including its retrospective nature, which can introduce selection bias.…”

Section: Discussionmentioning

confidence: 99%

Abdominal Panniculectomy: An Analysis of Outcomes in 238 Consecutive Patients over 10 Years

Kuruoglu

Salinas

Tran

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Background: Panniculectomy is a commonly performed body contouring procedure to address skin laxity and its related complications. This study aimed to assess clinical outcomes of abdominal panniculectomy and identify predictors of complications at a tertiary academic healthcare center. Methods: A retrospective review of patients who underwent panniculectomy between January 2010 and January 2020 at our institution was performed. Exclusion criteria were a history of prior panniculectomy or abdominoplasty. Patient characteristics and clinical outcomes were collected. Univariate and multivariable analyses were performed to assess the risk factors of complications. Results: The mean age in the included 238 patients was 51.7 ± 12.7 years, and the mean body mass index (BMI) at the time of panniculectomy was 33 ± 7.5 kg/m 2 . Median resection weight was 2.7 kg (range: 0.15-14.6) and median length of hospital stay was 2 days (range: 0-24). Mean follow-up time was 50 ± 37 months. The rate of major complications was 22.3%. Revision surgery was performed in 3.4% of the cases. Multivariable analyses demonstrated that increase in BMI (P = 0.007) and active smoking (P = 0.026) were significantly associated with increased odds of major complication, and increase in BMI (P = 0.0004), history of venous thromboembolism (P = 0.034) and having a concomitant ventral hernia repair (P = 0.0044) were significantly associated with having a length of hospital stay of 3 days or more. Conclusions: Panniculectomy is generally safe to perform, with major postoperative complication rate of 22.3% in our series. Increase in BMI and active smoking were significantly associated with having a major complication. Higher BMI, concomitant hernia repair, and a history of venous thromboembolism were associated with length of hospital stay of 3 days or more.

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Efficacy of panniculectomy-combined surgery in superobese patients with endometrial cancer: A case report and literature review

Okawa

Komatsu

Osaku

et al. 2020

International Journal of Surgery Case Reports

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Evaluation of extended antibiotic prophylaxis in patients undergoing indicated non‐cosmetic panniculectomy at the time of gynecologic surgery

Abstract: Though initially promising, extended antibiotic prophylaxis did not reduce surgical site infections in the obese women after indicated non-cosmetic panniculectomy at the time of gynecologic surgery.

Cited by 3 publications

References 12 publications

Safety and efficacy of synchronous panniculectomy and endometrial cancer surgery in obese patients: a systematic review of the literature and meta-analysis of postoperative complications

Safety and efficacy of synchronous panniculectomy and endometrial cancer surgery in obese patients: a systematic review of the literature and meta-analysis of postoperative complications

Abdominal Panniculectomy: An Analysis of Outcomes in 238 Consecutive Patients over 10 Years

Efficacy of panniculectomy-combined surgery in superobese patients with endometrial cancer: A case report and literature review

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