Panniculectomy

定义

Panniculectomy is a surgery done to remove stretched out, excess fat and overhanging skin from your abdomen. This can occur after a person undergoes massive weight loss. The skin may hang down and cover your thighs and genitals. Surgery to remove this skin helps improve your health and appearance.

Panniculectomy is different from 腹壁整形术. In 腹壁整形术, your surgeon will remove extra fat and also tighten your abdominal (belly) muscles. Sometimes, both types of surgery are performed at the same time.

选择的名字

Lower body lifts - abdomen; Tummy tuck - panniculectomy; Body-contouring surgery

描述

The surgery will take place in a hospital or a surgery center. 这个手术可能需要几个小时.

• 你会收到 全身麻醉. This will keep you asleep and pain-free during the procedure.
• The surgeon may make a cut from under your breast bone to just above your pelvic bone.
• A horizontal cut is made in your lower belly, just above the pubic area.
• The surgeon will remove the overhanging extra skin and fat, called an apron or pannus.
• The surgeon will close your cut with sutures (stitches).
• 小管, 称为排水, may be inserted to allow fluid to drain out of the wound as the area heals. 这些稍后将被删除.
• 你的腹部要包扎一下. 你可能需要带个活页夹.

为什么要执行该操作

当你瘦了很多的时候, such as 100 pounds (45 kg) or more after bariatric surgery, your skin may not be elastic enough to shrink back to its natural shape. 这会导致皮肤下垂和下垂. 它可能会覆盖你的大腿和生殖器. This extra skin can make it hard to keep yourself clean and to walk and perform daily activities. 它还会引起皮疹或溃疡. 衣服可能不合身.

Panniculectomy is done to remove this extra skin (pannus). This can help you feel better about yourself and feel more confident in your appearance. Removing extra skin also may reduce your risk for rashes and infection.

风险

麻醉和手术的一般风险是:

• 药物反应
• 呼吸困难
• 出血血块或感染

该手术的风险如下:

• 疤痕
• 感染
• 神经损伤
• 宽松的皮肤
• 皮肤损失
• 伤口愈合不良
• 皮肤下积液
• 组织死亡

操作前

Your surgeon will ask about your detailed medical history. The surgeon will examine the excess skin and old scars, if any. Tell your doctor about any prescription and over-the-counter medicines, 草本植物, 或者你正在服用的补充剂.

Your doctor will ask you to 戒烟 if you smoke. Smoking slows recovery and increases the risks of problems. 你的十大赌博平台排行榜会建议你 戒烟 在做手术之前.

手术前一周:

• 手术前几天, you may be asked to stop taking medicines that make it hard for your blood to clot. These include aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), and others.
• Ask your doctor about medicines you should still take on the day of your surgery.

手术当天:

• Follow instructions about when to stop eating and drinking.
• Take the medicines your surgeon told you to take with a small sip of water.
• 准时到达十大赌博平台排行榜.

Note that panniculectomy is not always covered by health insurance. It is mostly a cosmetic procedure done to change your appearance. 如果是出于医疗原因, 比如疝气, your bills may be covered by your insurance company. Be sure to check with your insurance company before the surgery to find out about your benefits.

操作结束后

You will need to stay at hospital for about two days after the surgery. You may need to stay longer if your surgery is more complex.

After you recover from the anesthesia, you will be asked to get up to walk a few steps.

You will have pain and swelling for days after surgery. Your doctor will give you pain killers to help relieve the pain. You may also experience numbness, bruising, and tiredness during that time. It may help to rest with your legs and hips bent during recovery to reduce pressure on your abdomen.

一天左右之后, your doctor may have you wear an elastic support, 像一条腰带, 在你康复的时候提供额外的支持. You should avoid strenuous activity and anything that makes you strain for 4 to 6 weeks. You will probably be able to return to work in about 4 weeks.

It takes about 3 months for swelling to go down and wounds to heal. But it can take up to 2 years to see the final results of the surgery and for scars to fade.

前景(预测)

胰腺切除术的结果通常是好的. 大多数人对自己的新形象都很满意.

参考文献

Aly AS, Al-Zahrani K, Cram A. Circumferential approaches to truncal contouring: belt lipectomy. 见:Rubin JP, nigan PC，主编. 整形外科:卷2:美容外科. 第四版. Philadelphia, PA: Elsevier; 2018:chap 25.2.

Padlilla PL, Khoo KH, Ho T Cole EL, Sirvent RZ, Phillips LG. 整形手术. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. 萨比斯顿外科教科书. 21艾德. St Louis, MO: Elsevier; 2022:chap 69.

Nahabedian我. Panniculectomy and abdominal wall reconstruction. 见:罗森·MJ主编. 腹壁重建图谱. 第二版. Philadelphia, PA: Elsevier; 2017:chap 13.

奈利根PC，巴克DW. 人体轮廓线. 输入:奈利根PC，巴克DW，编辑. 整形外科的核心程序. 第二版. Philadelphia, PA: Elsevier; 2020:chap 7.