Panniculus, giant hernias and surgical problems in patients with morbid obesity

Andreas Hillenbrand, Doris Henne-Bruns & Anna M. Wolf
Prevalence of morbid obesity is rising. Along with it, the adipose associated co-morbidities increase – included panniculus morbidus, the end stage of obesity of the abdominal wall. In the course of time panniculus often develop a herniation of bowel. An incarcerated hernia and acute exacerbation of a chronic inflammation of the panniculus must be treated immediately and presents a surgical challenge. The resection of such massive abdominal panniculus presents several technical problems to the surgeon....