April 9th, 2020

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Safety of Panniculectomy During Cesarean Section: A Prospective, Non-Randomized Study
Authors:  Boris Petrikovsky, M.D., Ph.D., Steven Swancoat, D.O., and Evgeny Zharov, M.D., Ph.D.
  OBJECTIVE: To investigate whether the addition of panniculectomy to a cesarean section is associated with an increased rate of postsurgical complications.

STUDY DESIGN: Sixty-four patients were included into the study. Twenty-six patients with a body mass index (BMI) >30 kg/m2 underwent a panniculectomy (study group), and 38 served as controls. The second control group consisted of 38 patients with a BMI >30 kg/m2 who had a cesarean section without panniculectomy. The following postsurgical outcomes were included into the analysis: postsurgical fever, presence of seromas, hematomas, and wound dehiscence. All patients were followed for 8 weeks after the procedures. Statistical analysis was performed using SPSS Version 20.0.

RESULTS: Frequency of postpartum fever was 23% in the study group vs. 24% in the control group in patients with a BMI >30 kg/m2; seromas were present in 11% vs. 11%, respectively; hematomas, 7.6% vs. 5.5%, respectively; and wound dehiscence was 15.4% vs. 11%, respectively.

CONCLUSION: Performance of panniculectomy as a part of cesarean section does not appear to increase surgical complications in patients with BMI >30 kg/m2.
Keywords:  abdominal fat/surgery; abdominal muscles/surgery; cesar­ean section; gynecolog­ic surgical procedures/ adverse effects; obesity; obesity/complications; obesity/surgery; panniculectomy; plastic surgical procedures; postoperative care; surgery, plastic; surgery, plastic/adverse effects
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