Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/10489
Title: New method of abdominoplasty for morbidly obese patients.
Authors: Ollapallil, Jacob
Koong, David
Panchacharavel, Gowrinanthanan
Butcher, Charles
Yapo, Benjamin
Affiliation: Department of Surgery, Alice Springs Hospital, Alice Springs, Australia. jacoboj@ozemail.com.au.
Issue Date: Jun-2004
Citation: ANZ journal of surgery 2004-06; 74(6): 504-6
Abstract: We report two cases of morbidly obese patients with huge infected abdominal aprons who underwent apronectomies at Alice Springs Hospital, Northern Territory, Australia. We describe a novel technique which to date has not been described in the available literature. Patients afflicted by morbid obesity with large aprons can be incapacitated by immobility as well as suffer from recurrent infections. Apronectomy in this situation can be difficult because of the heavy weight of the apron. This technique involves the use of a small crane and large orthopaedic K-nails. Two K-nails were inserted into the apron and attached to a small crane. This facilitated the elevation and manipulation of the apron during surgical dissection. The abdominal tissue removed from the female and male weighed 30 kg and 64 kg, respectively. The wounds were closed primarily and drained by three large bore suction drains. The female patient had a largely uneventful postoperative course with a minor wound infection that resolved with conservative treatment. The other patient required a more protracted course of antibiotics for his more severe infection. Mobility was markedly improved in both individuals. This novel technique can be used successfully for severely morbidly obese individuals and can significantly reduce the surgeon's and assistants' difficulty in manipulating and handling a heavy apron during dissection.
URI: http://docs.prosentient.com.au/prosentientjspui/handle/1/10489
DOI: 10.1111/j.1445-2197.2004.03047.x
ISSN: 1445-1433
Type: Case Reports
Journal Article
Subjects: Abdomen
Adult
Female
Humans
Male
Obesity, Morbid
Surgical Procedures, Operative
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