What is Panniculectomy?

Panniculectomy (also known as liposuction) is a surgical procedure used to remove fat from the abdomen. Fat is usually deposited around organs such as liver, heart or pancreas. It causes high risk of cancer and other diseases because it contains toxins and carcinogens. However, there are some cases where removal of excess body fat may not cause any problems. For example, if the patient has a very small waist circumference (waist-to-hip ratio), then removal of excess fat may not have any adverse effects on their health.

How Does Panniculectomy Work?

The procedure involves removing abdominal fat using special instruments called liposuction machines. These machines use heat and pressure to break down the fatty tissue into smaller pieces so they cannot cause harm to surrounding tissues. The fat is removed with a special tool called a cannula which is inserted through incisions made in the skin. The cannula allows the surgeon to draw out the fat without causing damage to nearby tissues. After this operation, the patient will need to take care of various treatments like diet and exercise program.

Who Should Not Have Panniculectomy?

The following individuals are not suitable for Panniculectomy:

Patients who have active liver or heart disease.

Individuals with blood clotting disorders.

People who smoke, drink excessively, or use street drugs.

Patients with a history of lung collapse.

What Are the Benefits of Panniculectomy?

The benefits of Panniculectomy include:

Reduced risk of bone fractures.

Improved quality of life.

Reduced risk of developing serious conditions such as liver cancer.

What Are the Risks and Complications of Panniculectomy?

The possible risks and complications of Panniculectomy may include:

Infection and bleeding.

Poor cosmetic results.

Numbness in the skin around the navel.

Loss of feeling in the abdominal muscles.

What Is the Procedure of Panniculectomy?

Panniculectomy can be performed in an outpatient setting, although some patients may require admission to hospital for a short period of time. It usually involves two or three small incisions to access the abdomen – one at the belly button and one on each side. The surgeon accesses the fatty tissue inside the abdomen and removes it from the body. The surgeon may also remove excess skin if necessary. Once the surgery is completed, the incision is stitched up and the patient can resume their normal activities after a certain period of time.

What are the steps of the Panniculectomy procedure?

The steps of the Panniculectomy procedure may include:

The patient prepares for surgery by stopping activities such as smoking and eating certain foods. They usually arrive at the hospital on the day of surgery and are assigned to a surgical team. The patient is taken to an operation room, where they are prepared for surgery. The surgeon makes one or two small incisions in the skin above the belly button up to the ribs on each side. A surgical tool called a cannula is inserted through the incision into the abdomen and used to break up the fatty tissue.

A special vacuum device is used to suck out the broken-down fat and remove it from the body through the cannula. The surgeon then tightens up the skin and stitches up the incisions with dissolvable sutures. The patient usually stays in hospital for 48 hours after surgery and begins physical therapy to help heal their wounds.

Sources & references used in this article:

Post-bariatric panniculectomy: pre-panniculectomy body mass index impacts the complication profile by ZM Arthurs, D Cuadrado, V Sohn, K Wolcott… – The American journal of …, 2007 – Elsevier

Massive panniculectomy after massive weight loss by MA Manahan, MA Shermak – Plastic and reconstructive …, 2006 –

Panniculectomy as an adjuvant to bariatric surgery by TO Acarturk, G Wachtman, B Heil… – Annals of plastic …, 2004 –

Panniculectomy and abdominoplasty by JH Pratt, GB Irons – American Journal of Obstetrics and Gynecology, 1978 – Elsevier

Panniculectomy adjuvant to obesity surgery by D Igwe, M Stanczyk, J Tambi, M Fobi, H Lee, B Felahy – Obesity surgery, 2000 – Springer

Comparative study of wound complications: isolated panniculectomy versus panniculectomy combined with ventral hernia repair by AY Zemlyak, PD Colavita, S El Djouzi… – journal of surgical …, 2012 – Elsevier

Massive abdominal panniculectomy by BR Meyerowitz, RP Gruber, DR Laub – JAMA, 1973 –

Ventral hernia repair with simultaneous panniculectomy. by KC Hughes, L Weider – American Surgeon, 1996 –