Document Detail

Obesity, panniculitis, panniculectomy, and wound care: understanding the challenges.
MedLine Citation:
PMID:  14615764     Owner:  NLM     Status:  MEDLINE    
Sixty-one percent of Americans are overweight, and 20% are considered obese. The number of obese adults has doubled since 1960, and the number of overweight teenagers has tripled. In many overweight people, skin and wound conditions develop over the abdominal area, largely because of the consequences related to a large abdominal apron or panniculus. Panniculectomy surgery is performed to remove a massive pannus, or abdominal apron, which frequently contributes to a number of health concerns and threatens quality of life. Some patients are candidates for surgical removal of the pannus, and some are not candidates for this surgery. Occasionally cellulitis develops over the panniculus, leading to panniculitis. Panniculitis can lead to skin and wound problems; likewise, skin injury can lead to panniculitis. Additionally, in obese patients who require general surgery in the abdominal area, skin and wound complications may develop simply as a result of having a large panniculus. In this article, local wound care and preoperative and postoperative nursing care are discussed and case studies are presented.
Susan Gallagher; Judy L Gates
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society / WOCN     Volume:  30     ISSN:  1071-5754     ISO Abbreviation:  J Wound Ostomy Continence Nurs     Publication Date:  2003 Nov 
Date Detail:
Created Date:  2003-11-17     Completed Date:  2004-01-06     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9435679     Medline TA:  J Wound Ostomy Continence Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  334-41     Citation Subset:  N    
SIZEWise Rentals, Ellis, Kan, USA.
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MeSH Terms
Body Mass Index
Middle Aged
Nursing Assessment
Nutrition Assessment
Obesity / complications,  nursing*,  surgery
Panniculitis / complications,  nursing*,  surgery
Patient Care Planning
Postoperative Care / methods*,  nursing
Preoperative Care / methods*,  nursing
Risk Factors
Skin Care / methods*,  nursing
Wound Healing

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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