{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T12:59:19Z","timestamp":1781614759129,"version":"3.54.5"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T00:00:00Z","timestamp":1753056000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T00:00:00Z","timestamp":1753056000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Hernia"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Patients with obesity and a large pannus may benefit from the simultaneous performance of panniculectomy and ventral hernia repair. However, the literature reports conflicting results regarding an increased risk of surgical site events when both procedures are performed concurrently. This study aimed to describe the outcomes of patients undergoing simultaneous ventral hernia repair and panniculectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective single-arm cohort study was conducted, including consecutive patients who underwent abdominal wall reconstruction and panniculectomy during the same surgical procedure at a high-complexity center in Bogot\u00e1, Colombia, between 2014 and 2024. Demographic data, intraoperative variables, and postoperative outcomes were collected and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 171 patients underwent combined abdominal wall reconstruction and panniculectomy in a single surgical session. The mean age was 54\u2009\u00b1\u200912.8 years, and the average body mass index (BMI) was 27.77\u2009\u00b1\u20094.7. Male patients accounted for 26.3% of the cohort. The most common complications were seroma, hematoma, and skin dehiscence. The median hospital stay was 2 days (\u00b1\u20093.3). Early discharge with continued recovery through a home hospitalization program was achieved in 11.1% of the patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Abdominal wall reconstruction combined with panniculectomy is a feasible surgical strategy that not only restores the dynamic functionality of the abdominal wall but also improves the patient\u2019s aesthetic appearance. This study represents the first published experience in Latin America aiming to evaluate the safety, feasibility, and clinical benefits of this combined approach in real-world medical practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10029-025-03415-7","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T12:23:18Z","timestamp":1753100598000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical and perioperative outcomes of abdominal wall reconstruction and panniculectomy in a single surgical procedure: experience from a high-complexity center in bogot\u00e1, Colombia"],"prefix":"10.1007","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3224-5729","authenticated-orcid":false,"given":"Carolina Riscanevo","family":"Bobadilla","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5342-3814","authenticated-orcid":false,"given":"Alejandro Lora","family":"Aguirre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8666-3424","authenticated-orcid":false,"given":"Juan Pablo","family":"Ruiz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4682-5852","authenticated-orcid":false,"given":"Neil Valent\u00edn","family":"Vega","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6748-4244","authenticated-orcid":false,"given":"Arnold Jos\u00e9","family":"Barrios","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2372-5779","authenticated-orcid":false,"given":"Ana Mar\u00eda","family":"Sastre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"German","family":"Paez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9148-1634","authenticated-orcid":false,"given":"David","family":"Duque","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilo","family":"Mejia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1098-0830","authenticated-orcid":false,"given":"Camilo","family":"Herrera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3211-1206","authenticated-orcid":false,"given":"Luis Arturo","family":"Molina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1534-2364","authenticated-orcid":false,"given":"Mar\u00eda","family":"del Pilar Montilla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,7,21]]},"reference":[{"issue":"8","key":"3415_CR1","doi-asserted-by":"publisher","first-page":"896","DOI":"10.1089\/lap.2020.0265","volume":"30","author":"E Veilleux","year":"2020","unstructured":"Veilleux E, Lutfi R (2020) Obesity and ventral hernia repair: is there success in staging?? J Laparoendosc Adv Surg Tech Part A 30(8):896\u2013899. https:\/\/doi.org\/10.1089\/lap.2020.0265","journal-title":"J Laparoendosc Adv Surg Tech Part A"},{"key":"3415_CR2","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1186\/1471-2482-9-8","volume":"9","author":"NN Rahbari","year":"2009","unstructured":"Rahbari NN, Knebel P, Diener MK, Seidlmayer C, Ridwelski K, St\u00f6ltzing H, Seiler CM (2009) Current practice of abdominal wall closure in elective surgery - Is there any consensus? BMC Surg 9:8. https:\/\/doi.org\/10.1186\/1471-2482-9-8","journal-title":"BMC Surg"},{"issue":"4","key":"3415_CR3","doi-asserted-by":"publisher","first-page":"615","DOI":"10.1016\/j.amjsurg.2016.06.004","volume":"212","author":"M Dasari","year":"2016","unstructured":"Dasari M, Wessel CB, Hamad GG (2016) Prophylactic mesh placement for prevention of incisional hernia after open bariatric surgery: a systematic review and meta-analysis. Am J Surg 212(4):615\u2013622e1. https:\/\/doi.org\/10.1016\/j.amjsurg.2016.06.004","journal-title":"Am J Surg"},{"issue":"3","key":"3415_CR4","doi-asserted-by":"publisher","first-page":"CD006438","DOI":"10.1002\/14651858.CD006438.pub2","volume":"2008","author":"D den Hartog","year":"2008","unstructured":"den Hartog D, Dur AH, Tuinebreijer WE, Kreis RW (2008) Open surgical procedures for incisional hernias. Cochrane Database Syst Rev 2008(3):CD006438. https:\/\/doi.org\/10.1002\/14651858.CD006438.pub2","journal-title":"Cochrane Database Syst Rev"},{"issue":"6","key":"3415_CR5","doi-asserted-by":"publisher","first-page":"2125","DOI":"10.1007\/s10029-024-03149-y","volume":"28","author":"AC Dias Rasador","year":"2024","unstructured":"Dias Rasador AC, Marcolin P, da Silveira CAB, Kasakewitch JPG, Nogueira R, de Figueiredo SMP, Lima DL, Malcher F (2024) The impact of simultaneous panniculectomy in ventral hernia repair: a systematic review and meta-analysis. Hernia: J Hernias Abdom Wall Surg 28(6):2125\u20132136. https:\/\/doi.org\/10.1007\/s10029-024-03149-y","journal-title":"Hernia: J Hernias Abdom Wall Surg"},{"key":"3415_CR6","doi-asserted-by":"publisher","unstructured":"Alli VV, Zhang J, Telem DA (2018) Impact of incisional hernia development following abdominal operations on total healthcare cost. Surgical endoscopy, 32(5), 2381\u20132386. https:\/\/doi.org\/10.1007\/s00464-017-5936-8 Fischer, J. P., Tuggle, C. T., Wes, A. M., & Kovach, S. J. (2014). Concurrent panniculectomy with open ventral hernia repair has added risk versus ventral hernia repair: an analysis of the ACS-NSQIP database. Journal of plastic, reconstructive & aesthetic surgery: JPRAS, 67(5), 693\u2013701. https:\/\/doi.org\/10.1016\/j.bjps.2014.01.021","DOI":"10.1007\/s00464-017-5936-8"},{"issue":"12","key":"3415_CR7","doi-asserted-by":"publisher","first-page":"e6381","DOI":"10.1097\/GOX.0000000000006381","volume":"12","author":"AM Holland","year":"2024","unstructured":"Holland AM, Lorenz WR, Marturano MN, Hollingsworth RK, Scarola GT, Mead BS, Heniford BT, Augenstein VA (2024) Concurrent panniculectomy with abdominal wall reconstruction: A Propensity-scored matched study of quality improvement outcomes. Plast Reconstr Surg Glob Open 12(12):e6381. https:\/\/doi.org\/10.1097\/GOX.0000000000006381","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"2","key":"3415_CR8","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1016\/j.jss.2012.06.029","volume":"177","author":"AY Zemlyak","year":"2012","unstructured":"Zemlyak AY, Colavita PD, Djouzi E, Walters S, Hammond AL, Hammond L, Tsirline B, Getz VB, S., Heniford BT (2012) Comparative study of wound complications: isolated panniculectomy versus panniculectomy combined with ventral hernia repair. J Surg Res 177(2):387\u2013391. https:\/\/doi.org\/10.1016\/j.jss.2012.06.029","journal-title":"J Surg Res"},{"issue":"2","key":"3415_CR9","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1097\/SAP.0b013e3181c9c336","volume":"65","author":"M Iglesias","year":"2010","unstructured":"Iglesias M, Butron P, Abarca L, Perez-Monzo MF, de Rienzo-Madero B (2010) An anthropometric classification of body contour deformities after massive weight loss. Ann Plast Surg 65(2):129\u2013134. https:\/\/doi.org\/10.1097\/SAP.0b013e3181c9c336","journal-title":"Ann Plast Surg"},{"issue":"4","key":"3415_CR10","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1097\/SAP.0000000000001277","volume":"80","author":"CHL McNichols","year":"2018","unstructured":"McNichols CHL, Diaconu S, Liang Y, Ikheloa E, Kumar S, Kumar S, Nam A, Rasko Y (2018) Outcomes of ventral hernia repair with concomitant panniculectomy. Ann Plast Surg 80(4):391\u2013394. https:\/\/doi.org\/10.1097\/SAP.0000000000001277","journal-title":"Ann Plast Surg"},{"issue":"2","key":"3415_CR11","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1007\/s10029-017-1662-3","volume":"22","author":"I Khansa","year":"2018","unstructured":"Khansa I, Janis JE (2018) Management of skin and subcutaneous tissue in complex open abdominal wall reconstruction. Hernia: J Hernias Abdom Wall Surg 22(2):293\u2013301. https:\/\/doi.org\/10.1007\/s10029-017-1662-3","journal-title":"Hernia: J Hernias Abdom Wall Surg"},{"key":"3415_CR12","doi-asserted-by":"publisher","unstructured":"Gossett AG, Leavitt JD, Hooks WB 3rd, Hope WW (2025) Outcomes after ventral hernia repair with concurrent panniculectomy: A large database review. J Am Coll Surg 240(4):530\u2013535. https:\/\/doi.org\/10.1097\/XCS.0000000000001287","DOI":"10.1097\/XCS.0000000000001287"},{"issue":"4","key":"3415_CR13","doi-asserted-by":"publisher","first-page":"1211","DOI":"10.1097\/PRS.0000000000005471","volume":"143","author":"SC Diaconu","year":"2019","unstructured":"Diaconu SC, McNichols CHL, AlFadil S, Liang Y, Bai J, Silverman RP, Grant MP, Nam AJ, Rasko YM (2019) Postoperative outcomes in obese patients that undergo ventral hernia repair versus ventral hernia repair with concurrent panniculectomy. Plast Reconstr Surg 143(4):1211\u20131219. https:\/\/doi.org\/10.1097\/PRS.0000000000005471","journal-title":"Plast Reconstr Surg"},{"issue":"6","key":"3415_CR14","doi-asserted-by":"publisher","first-page":"759","DOI":"10.1016\/j.bjps.2017.01.001","volume":"70","author":"V Shubinets","year":"2017","unstructured":"Shubinets V, Fox JP, Tecce MG, Mirzabeigi MN, Lanni MA, Kelz RR, Dumon KR, Kovach SJ, Fischer JP (2017) Concurrent panniculectomy in the obese ventral hernia patient: assessment of short-term complications, hernia recurrence, and healthcare utilization. J Plast Reconstr Aesthetic Surgery: JPRAS 70(6):759\u2013767. https:\/\/doi.org\/10.1016\/j.bjps.2017.01.001","journal-title":"J Plast Reconstr Aesthetic Surgery: JPRAS"},{"key":"3415_CR15","doi-asserted-by":"publisher","unstructured":"Senchenkov A, Moran SL, Petty PM, Knoetgen J 3rd, Tran NV, Clay RP, Bite U, Johnson CH, Barnes SA, Sim FH (2009) Soft-tissue reconstruction of external hemipelvectomy defects. Plast Reconstr Surg 124(1):144\u2013155. https:\/\/doi.org\/10.1097\/PRS.0b013e3181a80557","DOI":"10.1097\/PRS.0b013e3181a80557"},{"issue":"5","key":"3415_CR16","doi-asserted-by":"publisher","first-page":"969","DOI":"10.1007\/s10029-019-02024-5","volume":"23","author":"CE Hutchison","year":"2019","unstructured":"Hutchison CE, Rhemtulla IA, Mauch JT, Broach RB, Enriquez FA, Hernandez JA, Messa CA, Williams NN, Harbison SP, Fischer JP (2019) Cutting through the fat: a retrospective analysis of clinical outcomes, cost, and quality of life with the addition of panniculectomy to ventral hernia repair in overweight patients. Hernia: J Hernias Abdom Wall Surg 23(5):969\u2013977. https:\/\/doi.org\/10.1007\/s10029-019-02024-5","journal-title":"Hernia: J Hernias Abdom Wall Surg"},{"issue":"2","key":"3415_CR17","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1007\/s10029-019-02054-z","volume":"24","author":"HS Ayyala","year":"2020","unstructured":"Ayyala HS, Weisberger J, Le TM, Chow A, Lee ES (2020) Predictors of discharge destination after complex abdominal wall reconstruction. Hernia: J Hernias Abdom Wall Surg 24(2):251\u2013256. https:\/\/doi.org\/10.1007\/s10029-019-02054-z","journal-title":"Hernia: J Hernias Abdom Wall Surg"},{"issue":"3","key":"3415_CR18","doi-asserted-by":"publisher","first-page":"925","DOI":"10.1007\/s10029-024-02962-9","volume":"28","author":"A Fafaj","year":"2024","unstructured":"Fafaj A, de Figueiredo SMP, Rosen MJ, Petro CC (2024) Preoperative optimization in hernia surgery: are we really helping or are we just stalling? Hernia: J Hernias Abdom Wall Surg 28(3):925\u2013930. https:\/\/doi.org\/10.1007\/s10029-024-02962-9","journal-title":"Hernia: J Hernias Abdom Wall Surg"},{"issue":"1","key":"3415_CR19","doi-asserted-by":"publisher","first-page":"znad346","DOI":"10.1093\/bjs\/znad346","volume":"111","author":"S Capoccia Giovannini","year":"2024","unstructured":"Capoccia Giovannini S, Podda M, Ribas S, Montori G, Botteri E et al (2024) What defines an incisional hernia as \u2018complex\u2019: results from a Delphi consensus endorsed by the European hernia society (EHS). Br J Surg 111(1):znad346. https:\/\/doi.org\/10.1093\/bjs\/znad346","journal-title":"Br J Surg"},{"issue":"1","key":"3415_CR20","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s10029-017-1668-x","volume":"22","author":"HerniaSurge Group","year":"2018","unstructured":"HerniaSurge Group (2018) International guidelines for groin hernia management. Hernia: J Hernias Abdom Wall Surg 22(1):1\u2013165. https:\/\/doi.org\/10.1007\/s10029-017-1668-x","journal-title":"Hernia: J Hernias Abdom Wall Surg"}],"container-title":["Hernia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10029-025-03415-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10029-025-03415-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10029-025-03415-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T12:39:25Z","timestamp":1781613565000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10029-025-03415-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,21]]},"references-count":20,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["3415"],"URL":"https:\/\/doi.org\/10.1007\/s10029-025-03415-7","relation":{},"ISSN":["1248-9204"],"issn-type":[{"value":"1248-9204","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,21]]},"assertion":[{"value":"22 February 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 June 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 July 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The protocol (069\u2009\u2212\u200924 UNV)\n                      \u201cClinical and perioperative outcomes of patients undergoing abdominal wall reconstruction with panniculectomy between 2017 and 2022 in Bogot\u00e1: Experience at the Cl\u00ednica Universitaria Colombia.\u201d\n                      was evaluated and approved by the Research Ethics Committee of Fundaci\u00f3n Universitaria Sanitas.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The research protocol was approved by the institutional research committee and the ethics committee with registration No. 022\u2009\u2212\u200920. Given the retrospective and observational nature of the study, it posed no risk to patients, and informed consent was not required. The study was conducted in accordance with the Declaration of Helsinki (World Medical Association, 1975) and its subsequent amendments, as well as the compliance with Resolution No. 008430 of 1993 by the Ministry of Health and Resolution 2378 of 2008 by the Ministry of Social Protection.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"The authors declare that no artificial intelligence-assisted technologies (such as large language models, chatbots, or image creators) were used in the production of this work.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Use of artificial intelligence"}},{"value":"The authors declare that they have no conflicts of interest.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"236"}}