ABSTRACT
Background: Many women in clinical practice desire a panniculectomy following a cesarean section to remove excess skin and stretch marks that have grown during pregnancy. This study aimed to see how panniculectomy and cesarean section worked together.
Subjects and methods: This is a prospective randomized controlled trial that took place in the obstetric department of a hospital. Elmahalla, Elkobra -general hospital. Eligible 66 patients had been randomly collected; the groups were divided into two equal groups using a computer-generated randomization table, with group assignments hidden in sealed opaque envelopes: (n=33) Control Group (C): Patients underwent elective CS alone. Combined group (C+P) (n=33): Patients underwent panniculectomy Combined with Cesarean Delivery.
Result: In terms of operative time and intraoperative bleeding, there was a substantial difference between the groups tested. There was a considerable distinction between the two groups regarding persistent bulging of abdomen, bulging of umbilicus Postoperative complications, operative time, intraoperative bleeding and stretch mark removal
Conclusion: Panniculectomy after cesarean section is linked to a higher rate of post-surgical fever and a higher rate of other wound problems, such as seromas and wound dehiscence. During cesarean section, removing the pannus was linked to higher incidence of blood loss, longer operative time and a larger incision. Further studies need to be undertaken to investigate the effect of combining panniculectomy with cesarean section.
Keywords; Panniculectomy; pregnancy; cesarean section; complications