Work

Novel use and utilization of robotic Hoyer–Hook system for suspension of panniculus morbidus

Year: 2023

Type: article

Abstract: Panniculus morbidus is a complication of morbid obesity characterized by massive abdominal folds that hang below the beltline. Ulceration, dermatitis, and sinus tract formation of the pannus can cause significant morbidity to the patient and impair activities of daily living. If patients fail medical management, the next step is surgical excision. Challenging aspects of the procedure include adequate suspension of the pannus, cost, and prevention of intra-abdominal injuries. We present a case of a 70-year-old female with panniculus morbidus with endometrial carcinoma. We successfully performed a panniculectomy using a novel combination of towel hooks and the Hoyer lift to suspend the abdomen. In the same anesthesia event, she underwent robotic-assisted hysterectomy. No intra-operative or post-operative complications were encountered, and the patient was satisfied with her results. In this case, we demonstrated an effective and cost-efficient approach to panniculectomy in the severely obese patient.

Source: JPRAS Open

DOI: 10.1016/j.jpra.2023.06.011

Authors: Aldin Malkoc, Mark J. Landau, Hailey Shoemaker, Darren Sze Mynn Leong, Walter T. Chang

Institutions: Kaiser Permanente, Kaiser Permanente Fontana Medical Center, Loma Linda University Medical Center, Kaiser Permanente Bernard J. Tyson School of Medicine

Language: English

Topic: Body Contouring and Surgery

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,920