Table 1.
Clinical Characteristics
| Patient Demographics | |
|---|---|
| Mean age, y | 41.1 |
| Female | 15/15 |
| Male | 0/15 |
| Mean BMI prior to RYGB, kg/m2 | 57 (low 34, high 81) |
| Mean BMI at time of panniculectomy, kg/m2 | 33 (low 23, high 46) |
| Open RYGB | 9/15 |
| Open conversion of VBG to RYGB | 6/15 |
| Post-RYGB complications* | 6/15 |
| Hernia repair at time of RYGB | 7/15 |
| Risk Factors for Development of SSI | |
| Diabetes mellitus at time of RYGB | 5/15 |
| Diabetes mellitus at time of panniculectomy | 1/15 |
| Tobacco use at time of RYGB | 11/15 |
| Tobacco use at time of panniculectomy | 6/15 |
| Steroids at time of RYGB | 1/15 |
| Steroids at time of panniculectomy | 1/15 |
| Malnutrition (albumin <3.5 mg/dL) | 9/15 |
| Pre-operative cultivation of Staphylococcus aureus | 2/15 |
| Microorganisms Obtained from Wound Culture | |
| Acinetobacter | 1 |
| S. aureus | 10 |
| MRSA | 19 |
| Klebsiella | 1 |
| Corynebacterium | 6 |
| Pseudomonas aeruginosa | 2 |
| Coagulase-negative Staphylococcus | 5 |
| Streptococcus viridans group | 2 |
| Streptococcus milleri group | 2 |
| Enterococcus | 2 |
| Proteus | 1 |
| Beta-hemolytic Streptococcus | 1 |
| Candida | 1 |
| Operative Treatment | |
| Mean weight of pannus removed, g | 3,168 |
| Estimated blood loss, mL | <100 |
| Fleur-de-lis pattern of repair | 15/15 |
| Herniorrhaphy at time of panniculectomy | 11/15 |
| Foreign body removed (suture) | 15/15 |
| Post-operative Care | |
| Mean length of post-operative follow up | 2.5 y |
| Post-operative drainage | 2/15 |
| Wound dehiscence | 2/15 |
| Fever | 1/15 |
| Oral antibiotic use | 2/15 |
| Surgical revision | 2/15 |
*
wound dehiscence, anastomotic stricture, gastrocutaneous fistula, intraabdominal abscess.
BMI=body mass index; RYGS=Roux-en-Y gastric bypass; VBG=vertical banded gastroplasty.