Panniculectomy: Q&A
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Revision Pannulectomy Under Local Anesthesia?
I had a Pannulectomy (major tummy tuck & muscle repair) in July 2006 while we were stationed in South Korea. There were some bad dog ears on both sides, plus a golf ball size lump left of my belly button. I am having a revision done, and I was wondering if it is normal to do that under local anesthesia? It seems scary. He said he has to go 6 inches farther on the right and 5 inches farther on the left, so basically nearly all the way around to my spine. They said they do them all under local.
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4 Doctor Answers |
Asked by
mnmshemi
in Fort Leonard Wood, MO USA
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Panniculectomy Anesthesia
Thanks for the question -
The dog-ears can likely be corrected with local anesthesia. I would be concerned about the lump to the left of your belly button. This could be a hernia (especially if you have had gastric bypass surgery or other abdominal procedures prior to your first panniculectomy).
If you have a hernia then correcting this should be done under general anesthesia. You don't mention correcting this lump in your description. If its just the dog ears then local may be ok.
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Revision panniculectomy rarely done under local anesthesia
Panniculectomy is an effective procedure to remove the excess overhanging skin of the abdomen. This is usually not performed with a muscle repair. Patients who receive this procedure are prone to have additional sacking of the skin and may need a revision at a later date. If the revision is limited to the skin, or a scar repair, this may be done under local anesthesia. However, if deeper layers of the abdomen need to be accessed, this should be done in a surgery center under regional or...
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Dog ear revision
A simple dog ear revision can be done under local. If on the other hand a formal lower body lift along the flanks and back are being performed, I would recommend general anesthesia or at least sedation.
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Revision panniculectomy under local anesthesia
Good question.
Revision panniculectomy is a relatively common procedure, most often done to address dog ears, as in your situation. It is well within reason to address such a revision under a local anesthetic. The procedure itself is essentially pain-free, quick, and requires nothing more than a local anesthetic in most cases. If you are apprehensive, I would relay the concerns to your plastic surgeon so that she/he can formulate a plan to make your experience as pleasurable and...
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