Our aim in performing radical cystectomy and panniculectomy concomitantly was to improve exposure to the pelvic organs, facilitate maturation of the ileal conduit, and potentially improve stomal outcomes.
A more contemporary series of four patients describes panniculectomy in conjunction with stomal revision for stenosis with retraction .
Panniculectomy, with or without escutcheonectomy, may make orthotopic neobladder construction a more feasible or attractive option for morbidly obese patients.
Concomitant panniculectomy may lead to improved long term stomal outcomes and quality of life in obese patients with muscle-invasive bladder cancer.
The authors recognize that panniculectomy adds risk of additional perioperative morbidity to those patients undergoing radical cystectomy, a population already at high risk for postoperative complications .
Radical cystectomy with ileal conduit urinary diversion and simultaneous panniculectomy is a reasonable surgical option for the morbidly obese patient with bladder cancer and a large pannus.
The decision to perform a panniculectomy was made originally by me before starting surgery, at which time I would obtain informed consent," Dr.
I am the only attending that does these procedures; [patients] understand that if they come in labor and I'm not available, they would not be getting a panniculectomy," he said.
Notably, the women in this series who underwent panniculectomy had significantly greater BMIs--a mean of 54 vs.
Of the 30 women who underwent modified panniculectomy at the time of cesarean section, there was one operative site infection that required readmission.
There was a nonsignificant difference in operative time, with a mean of 66 minutes with a panniculectomy compared with 63 minutes for cesarean section alone.