Preventing a Surgical Complication During Cesarean Delivery in a Morbidly Obese Patient: A Simple Apparatus to Retract the Abdominal Panniculus

Claire Maria Viegas, MBChB, MCFP, MPH; Osborn A C Viegas, MD, FRCOG, FRANZCOG, DA

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Abstract

Obesity is no longer just a "Western" problem, as evidenced by an increase in prevalence of up to 75% in parts of the developing world. It is important to transfer experience from the developed world to developing countries in an attempt to prepare for the inevitable health and economic problems. This case report highlights an unusual intraoperative complication that has medical and medico-legal implications. A simple apparatus designed to retract the panniculus of an obese patient might reduce complications when performing abdominal surgery in such cases.

Surgery in the morbidly obese is associated with risk. Correct handling of an abdominal panniculus is an important issue.

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