Introduction/Background The prevalence of obesity has been rising during the past decades, Greece´s population is not an exception. The treatment of obese female patients with gynaecologic cancer is a challenging task for surgeons. Panniculectomy is a safe procedure that offers better visualization of pelvic anatomy and thus increased lymph node exposure and less intraoperative complications.
Methodology A retrospective institutional surgical database was used to identify obese women who underwent surgical treatment for gynaecologic cancer with concurrent panniculectomy between January of 2015 and December of 2018. Major intraoperative or postoperative complications as well as wound surgical complications were documented.
Results Seven obese women were treated with concurrent panniculectomy at the time of gynaecologic surgery for cancer in a single institution. Median age was 55 years old, median blood loss was 228 ml and median operative time was 195 minutes. Three patients had endometrial cancer, two patients complex atypical endometrial hyperplasia, one patient borderline ovarian cancer and one adult granulosa ovarian tumour. One patient suffered from wound infection and was treated with antibiotics and one patient died after wound infection, wound dehiscence and renal failure.
Conclusion For selected obese patients concurrent panniculectomy with surgical treatment of gynaecological cancer is a safe and efficient procedure.
Disclosure Nothing to disclose.
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