Panniculectomy

ʻO Panniculectomy kahi ʻoki kino i hana ʻia e wehe i waho, ʻoi aku ka momona a me ka ʻili overhanging mai kou ʻōpū. Hiki i kēia ke hana ma hope o ke kaumaha ʻana o kekahi kanaka i ka pohō kaumaha. E kau ka ʻili i lalo a uhi i kou mau ʻūhā a me nā genital. ʻO ke kaha ʻana e wehe i kēia ʻili e kōkua i ka hoʻomaikaʻi ʻana i kou olakino a me kou helehelena.

ʻOkoʻa ka Panniculectomy mai ka abdominoplasty. I ka abdominoplasty, e hoʻoneʻe aku kāu mea lōkō iā ʻoe i ka momona keu a hoʻopaʻa hoʻi i nā mākala o kou ʻōpū. I kekahi manawa, hana ʻia nā ʻano ʻoki ʻelua i ka manawa like.

E mālama ʻia ke kaha ʻana ma kahi haukapila a i ʻole kahi kikowaena. Lawe paha kēia ʻoki ʻana i mau hola.

• E loaʻa iā ʻoe ka anesthesia laulā. Mālama kēia iā ʻoe i ka hiamoe a me ka ʻole o ka ʻeha i ke kaʻina hana.
• Hiki i ke kaukipoki ke ʻokiʻoki mai lalo o kou iwi umauma a ma luna pono o kou iwi pelvic.
• Hana ʻia kahi ʻoki ākea i loko o kou ʻōpū o lalo, ma luna pono o ka wahi pubic.
• E wehe ka mea lōkō i ka ʻili a me ka momona keu e kāhea ʻia, i kapa ʻia he ʻāpana a he pannus paha.
• E pani ke kaukōkō i kou ʻokiʻoki me nā sutures (stitches).
• Hoʻokomo ʻia paha nā paipu liʻiliʻi, i kapa ʻia nā ʻauwai, e ʻae ai ka wai i waho o ka ʻeha ke hoʻōla kahi kahi. E wehe ʻia kēia mau mea ma hope.
• E hoʻokomo ʻia kahi lole ma luna o kou ʻōpū.

Ke lilo ʻoe i ka nui o ke kaupaona, e like me 100 paona (45 kg) a ʻoi aku paha ma hope o ke kahakaha bariatric, ʻaʻole lawa paha ka ʻelika o kou ʻili e hoʻi hou i kona ʻano maoli. Hiki i kēia ke hoʻonā i kaʻili a kau. Hiki iā ia ke uhi i kou mau uha a me kou genitalia. Hiki i kēia ʻili keu ke hana paʻakikī e mālama iā ʻoe iho maemae a hele wāwae a hana i nā hana o kēlā me kēia lā. Hiki iā ia ke kumu i nā huhū a me nā ʻeha. ʻAʻole kūpono kūpono ka lole.

Hana ʻia ʻo Panniculectomy e wehe i kēia ʻili keu (pannus). Hiki i kēia ke kōkua iā ʻoe e hōʻoluʻolu iā ʻoe iho a hilinaʻi i kou helehelena. ʻO ka lawe ʻana i ka ʻili keu e hoʻoliʻiliʻi paha i kou makaʻu no ka huehue a me ka maʻi.

Nā pilikia no ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena i nā lāʻau
• Nā pilikia hanu
• Kahe ʻana o ke kahe, ke koko koko, a i ʻole ka maʻi

ʻO nā pilikia o kēia ʻoki kino:

• Scarring
• Maʻi kīnā
• Poino nerve
• ʻIli wehe
• Lilo ka ʻili
• Hoola ʻeha maikaʻi ʻole
• Kūkulu ka wai ma lalo o ka ʻili
• Ka make kuʻi

E nīnau ana kāu kauka lāʻau e pili ana i kāu moʻolelo olakino kikoʻī. E nānā ka mea lapaʻau i ka ʻili i ʻoi aku o ka ʻili a me nā ʻōpala kahiko, inā kekahi. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau, nā mea kanu, a me nā mea hoʻopihapiha āu e lawe nei.

E noi aku kāu kauka iā ʻoe e haʻalele i ka puhipaka inā ʻoe e puhi. Hoʻomaha lohi i ka puhi ʻana a hoʻonui i nā pilikia o nā pilikia. E ʻōlelo paha kāu kauka iā ʻoe e haʻalele i ka puhipaka ma mua o ka hana ʻana i kēia ʻoki.

I loko o ka pule ma mua o kou ʻoki kino:

• I kekahi mau lā ma mua o ke ʻoki ʻana, noi ʻia ʻoe e haʻalele i ka lawe ʻana i nā lāʻau e paʻakikī i kou kōkō ʻana ke kō. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), a me nā mea ʻē aʻe.
• E noi i kāu kauka e pili ana i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.

I ka lā o ke kaha ʻana:

• E hāhai i nā ʻōkuhi e pili ana i ka wā e hōʻoki ai i ka ʻai a me ka inu ʻana.
• E lawe i nā lāʻau a kāu kauka lāʻau i kauoha ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E hōʻea i ka haukapila i ka manawa.

E hoʻomaopopo ʻaʻole i uhi mau ʻia ka panniculectomy e ka ʻinikua olakino. ʻO ka hapanui kahi hana cosmetic i hana ʻia e hoʻololi i kou helehelena. Inā hana ʻia ia no kahi kumu lāʻau lapaʻau, e like me hernia, e uhi ʻia paha kāu mau pila e kāu ʻoihana inikua. E nānā pono me kāu ʻoihana inikua ma mua o ke kaha ʻana e ʻike e pili ana i kāu mau pono.

Pono ʻoe e noho ma ka haukapila ma kahi o ʻelua mau lā ma hope o ke kaha ʻana. Pono ʻoe e noho lōʻihi inā ʻoi aku ka paʻakikī o kāu ʻoki ʻana.

Ma hope o kou ola ʻana mai ka anesthesia, e noi ʻia ʻoe e ala aʻe e hele wāwae i kekahi mau ʻanuʻu.

E loaʻa iā ʻoe ka ʻeha a me ka pehu ʻana i mau lā ma hope o ke kaha ʻana. E hāʻawi aku kāu kauka iā ʻoe i nā mea hoʻomake ʻeha e kōkua ai e hōʻoluʻolu i ka ʻeha. Hiki paha iā ʻoe ke ʻike i ka helu, ʻōpala, a me ka luhi i kēlā manawa. Hiki ke kōkua i ka hoʻomaha ʻana me kou mau wāwae a me nā pūhaka i kūlou i ka wā o ke ola ʻana e hōʻemi i ke kaomi o kou ʻōpū.

Ma hope o hoʻokahi lā a ʻoi paha, e hoʻokomo paha kāu kauka iā ʻoe i kahi kākoʻo elastis, e like me ke kāʻei, e hāʻawi i ke kākoʻo keu ʻoiai ʻoe e hoʻōla nei. Pono ʻoe e hōʻole i ka hana ikaika a me nā mea e hoʻonāukiuki iā ʻoe no 4 a 6 mau pule. E hoʻi paha ʻoe i ka hana ma kahi o 4 mau pule.

Ma kahi o 3 mau mahina e iho ai ka pehu a ʻeha e hoʻōla. Akā hiki ke hala i 2 mau makahiki e ʻike ai i nā hopena hope loa o ke ʻoki a no nā wī e mae.

Maikaʻi pinepine ka hopena o ka panniculectomy. Hauʻoli ka hapa nui o ka poʻe i ko lākou helehelena hou.

Hāpai ke kino o lalo - ʻōpū; Pākuʻi ʻōpū - panniculectomy; ʻOki kino-contouring ʻoki kino

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ʻO McGrath MH, Pomerantz JH. ʻOki kino ea. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 68.

Nahabedian MY. ʻO Panniculectomy a me ka hana hou ʻana o ka paia ʻōpū. I: Rosen MJ, hoʻoponopono. ʻO Atlas o ka hana hou ʻana o ka Abdominal Wall. ʻElua ed. Piladelapia, PA: Elsevier; 2017: chap 13.

Neligan PC, ʻO Buck DW. Contouring kino. I: Neligan PC, ʻo Buck DW, nā huahana. Nā Hanana Nui ma ke ʻoki lula. ʻElua ed. Piladelapia, PA: Elsevier; 2020: chap 7.