<< Back to the abstract archive
Does Panniculectomy Improve Patient's Hypertension and Diabetes?
Josh Henderson, PGY-1
Cody Mullens, MS3
Ian McCulloch, MS3
Cristiane Ueno, MD
Vidas Dumasius, MD
Aaron Mason, MD
West Virginia University
2019-02-15
Presenter: Josh Henderson, PGY-1
Affidavit:
This work has not been published in any scientific journal. The work was conducted by the resident, medical students and faculty.
Director Name: Aaron Mason, MD
Author Category: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: Aesthetics
Introduction:
Obesity, diabetes, and high blood pressure all impact West Virginians. Weight loss induced secondary to bariatric surgery has proven to have beneficial effect upon premorbid diabetes and hypertension. The effects of panniculectomy upon diabetes and high blood pressure could be impactful in justifying the procedure in this population.
Methods:
Patients undergoing panniculectomy between 1/1/2014 to 12/31/2018 were included and data was evaluated up to one year postoperatively. Charts were analyzed for gender, race, body mass index, mean systolic and diastolic blood pressure, fasting glucose, Hgb A1c, smoking status, preoperative and postoperative hypertension and diabetic medication requirements and wound complications.
Results:
The mean mass of the panniculectomy specimen was 10.9 kg. Patient medication requirements in the management of hypertension did not change postoperatively. Similarly, diabetic medications were also unchanged. BMI decreased an average of 3.0 kg/m2 at 1-year postoperative assessment.
Conclusions:
Panniculectomy does not to appear to confer a reduction in medication requirement postoperatively for either hypertension or diabetes. Despite the loss of the overhanging panniculus, only a marginal reduction in BMI (and noted increase in select patients) was observed suggesting little to no change in lifestyle and behavior patterns with respect to weight management postoperatively.
