TY - JOUR
TI - Safety and efficacy of synchronous panniculectomy and endometrial cancer surgery in obese patients: A systematic review of the literature and meta-analysis of postoperative complications
AU - Prodromidou, A.
AU - Iavazzo, C.
AU - Psomiadou, V.
AU - Douligeris, A.
AU - Machairas, N.
AU - Paspala, A.
AU - Bakogiannis, K.
AU - Vorgias, G.
JO - Journal of the Turkish German Gynecology Association
PY - 2020
VL - 21
TODO - 4
SP - 279-286
PB - Galenos Yayincilik,
SN - null
TODO - 10.4274/jtgga.galenos.2019.2019.0103
TODO - adult;  Article;  bleeding;  cancer surgery;  cellulitis;  endometrium cancer;  female;  gynecologic surgery;  hospitalization;  human;  hysterectomy;  laparotomy;  length of stay;  major clinical study;  meta analysis;  obese patient;  operation duration;  postoperative complication;  salpingooophorectomy;  synchronous panniculectomy;  systematic review;  wound infection
TODO - Panniculectomy combined with gynaecological surgery constitutes an alternative approach for endometrial cancer (EC) in obese patients. The present study aimed to assess the current knowledge concerning the safety and efficacy of combining panniculectomy in surgical management of EC. Four electronic databases were systematically searched for articles published up to May 2019. A total of five studies, of which two were noncomparative and three comparative, were included. Meta-analysis of complications among panniculectomy and conventional laparotomy group revealed no difference in either intra-or post-operative complication rates. Moreover, no difference was reported in surgical site complications (p=0.59), while wound breakdown rates were significantly elevated in the laparotomy group (p=0.02). Panniculectomy combined surgery for the management of EC appears to be a safe procedure and results in comparable outcomes compared with conventional laparotomy with regard to complications and improved wound breakdown rates. (J Turk Ger Gynecol Assoc 2020; 21: 279-86). © 2020 by the Turkish-German Gynecological Education and Research Foundation.
ER -