PANNICULUS-MORBIDUS

被引：38

作者：

PETTY, P

MANSON, PN

BLACK, R

ROMANO, JJ

SITZMAN, J

VOGEL, J

机构：

[1] JOHNS HOPKINS MED INST,DIV PLAST SURG,HARVEY 811,600 N WOLFE ST,BALTIMORE,MD 21205

[2] JOHNS HOPKINS MED INST,DIV ANESTHESIA,BALTIMORE,MD 21205

[3] JOHNS HOPKINS MED INST,DIV SURG,BALTIMORE,MD 21205

[4] MARYLAND INST EMERGENCY MED SERV SYST,DIV PLAST SURG,BALTIMORE,MD

来源：

ANNALS OF PLASTIC SURGERY | 1992年 / 28卷 / 05期

关键词：

D O I：

10.1097/00000637-199205000-00008

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Eight patients with large panniculi are described where severe problems with hygiene, immobility, and chronic infection were caused by the lymphedematous, chronically infected pannus. Protracted nonsurgical management of the infected panniculus had failed in all 8 patients. Wedge resection without fat undermining removed diseased tissue. Infection and sepsis were eliminated and ambulation was restored in all patients. Formerly immobile patients were returned to normal activity. Significant self-induced weight loss was not observed in a 2-year follow-up period; weight gain, however, was not experienced The primary anesthetic method was thoracic epidural reducing the requirements for general endotracheal anesthesia. The chronically infected pannus is a surgical problem deserving earlier recognition and resection.

引用

页码：442 / 452

页数：11