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GH and the Panni issue

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GH writes: Can't he do these and CLOSE the incision? How many people

has he

done this way? Doesn't it just invite infection? I would love to

have the panni first, but no way could I deal with this open

incision. DO any other doctors do the panni pre-DS and close it up?

Honey, he DOES close the incision in most cases! Mine elected to come

apart-- excess fluids from too many fat cells is the likely culprit-- my

hysterectomy incision was the same way-- we MO folks have a high

incidence of wound dehiscence (coming un stuck). Dr. A also uses

" retention " sutures in cases that are very likely to spring apart so you

get a series of little openings to pack, not one huge thing. Once I came

unstuck and we decided to use the VAC for additional closure, I escaped

getting the retention sutures. Don't know what happened to Tom's-- his

nasty infection may have had something to do with it.

Plus, what invites infection is being MO and having skin folds that

harbor germs, yeasts and fungus-- we are walking targets. ( actually,

more like walking petri dishes.) I don't know the stats, but incision

infections is far more likely in the MO than in the " normie " population.

I don't know of any other doctors doing this pre-op panni-- they may be

out there. Dr. Anthone specializes in very high risk super MO and high

BMI patients (Tom was 69 and I was 71)-- he does this to REDUCE our

risks. He has even invented a contraption to act as a giant retractor

and hold up the abdominal fat and skin that constitutes the apron so his

residents don't get hernias assisting in the surgery.

Please remember that Tom's situation (and mine, for that matter) are NOT

typical, even in the world of the Super MO! There are plenty of Dr. A's

panni patients that have no complications. Tom and I are just hit the

jack pot in surgical complications -- being a statistic is so much fun!

Nan E.

5'2 " , 368

20 pounds off in panni

waiting for a DS date with Dr. Anthone in CA

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