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A retrospective single-arm study included all non-emergency VHR cases with PAN from January 2020 to December 2024, collecting pre-, intra-, and postoperative outcomes and classifying complications using SSOs, SSIs, and Clavien-Dindo criteria. Forty-five patients were analysed; minor wound complications were increased, while major complication and recurrence rates were not significantly affected after median follow-up of 31 weeks.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/simultaneous-abdominal-wall-reconstruction-and-panniculectomy-in-high-risk-complex-patients-a-retrospective-cohort-study/407447/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/simultaneous-abdominal-wall-reconstruction-and-panniculectomy-in-high-risk-complex-patients-a-retrospective-cohort-study/407447.png","ImageObject",300,407,{"name":92,"@type":93},"\tJames","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the study objective regarding panniculectomy combined with ventral hernia repair?","Question",{"text":112,"@type":113},"To evaluate the relevance of combining panniculectomy (PAN) with VHR in complex obese patients treated in a specialized centre in France.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were complications assessed in this retrospective study?",{"text":117,"@type":113},"Preoperative, intraoperative, and postoperative data were collected, and complications were categorized according to Surgical Site Occurrences (SSOs), Surgical Site Infections (SSIs), and Clavien-Dindo classifications.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the main findings after median follow-up?",{"text":121,"@type":113},"Minor wound complications increased, but major complications and hernia recurrence were not significantly affected; 11% developed recurrence after a median follow-up of 31 weeks.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},407447,1790716594,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":46,"preview_page_count":4},2336474466412,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","*Correspondence Antoine Vancon,  \n [avancon@chu-reims.fr](avancon@chu-reims.fr)[ ](avancon@chu-reims.fr)†ORCID:  \nAlix Donadieu [orcid.org/0009-0009-7412-5571](orcid.org/0009-0009-7412-5571)  \nReceived: 19 August 2025  \nRevised: 11 November 2025  \nAccepted: 26 November 2025  \nPublished: 17 December 2025  \nCitation:  \nVancon A, Alhammadi F, Donadieu A, Gueroult P, Kianmanesh R, Delecroix Q and Renard Y (2025)  \nSimultaneous Abdominal Wall Reconstruction and Panniculectomyin High-Risk Complex Patients: A Retrospective Cohort Study.  \nJ. Abdom. Wall Surg. 4:15456.  \ndoi: 10.3389/jaws.2025.15456  \nSimultaneous Abdominal Wall Reconstruction and Panniculectomyin High-Risk Complex Patients: A Retrospective Cohort Study  \nAntoine Vancon 1,2 *, Fahad Alhammadi 1, Alix Donadieu 1†, Pierre Gueroult 1,2, Reza Kianmanesh 1, Quentin Delecroix 3 and Yohann Renard 1,2,4  \n1Department of General, Digestive and Endocrine Surgery, Christian Cabrol University Hospital, University of Reims ChampagneArdenne, Reims, France, 2Department of Anatomy, Faculty of Medicine, University of Reims Champagne-Ardenne, Reims, France, 3Department of Plastic Surgery, Christian Cabrol University Hospital, University of Reims Champagne-Ardenne, Reims, France, 4LICIIS Laboratory, LRC DIGIT URCA-CEA, University of Reims Champagne-Ardenne, Reims, France  \nIntroduction: Ventral hernia repair (VHR) in high-risk, complex obese patients often presents a technical challenge for surgeons. Performing a panniculectomy (PAN) at the same time as the VHR may be an acceptable option for enhancing hernia exposure, improving cosmetic outcomes, and improving subsequent quality of life (QoL) . However, this approach remains controversial due to the theoretical increase in postoperative complications. The objective of this study was to evaluate the relevance of combining PAN with VHR in complex obese patients in a specialised centre in France.  \nMaterials and Methods: A retrospective single-arm study was conducted, including all patients who underwent VHR with PAN from January 2020 to December 2024 at a highcomplexity referral hernia centre in Reims, France. Preoperative, intraoperative, and postoperative data were collected and analysed. Complications were categorised according to the Surgical Site Occurrences (SSOs), Surgical Site Infections (SSIs) and Clavien-Dindo classifications. Emergency hernia repairs were excluded.  \nResults: A total of 45 patients were included. The maximum median BMI was 40 .26 kg/ m2. All patients had at least one comorbidity, more than half had a loss of domain or astoma, and more than 70% were classified as 2 or 3 according to the VHWG classification. The component separation technique was necessary for 42% of patients. The SSO and SSI rates were 58% and 7%, respectively, with an unplanned reoperation rate of 15% . After a median follow-up of 31 weeks, 11% of patients developed a hernia recurrence.  \nConclusion: Combining PAN with VHR in complex obese patients increases the risk of minor wound complications but does not significantly affect the rate of major complications or recurrence. PAN may introduce additional morbidity for complex VHR in obese patients and should be considered in selected cases after a thorough risk-benefit evaluation.  \nKeywords: ventral hernia, panniculectomy, abdominal wall reconstruction, loss of domain, component separation  \nJournal of Abdominal Wall Surgery | Published by Frontiers 1 December 2025 | Volume 4 | Article 15456  \nINTRODUCTION  \nApproximately 4 million laparotomies are performed annually in the United States [1], 500,000 in France [2] . Incisional hernias are therefore a common outcome, affecting 12.8%–30% of patients [3], and resulting in a significant physical impact, poor quality of life [4, 5] and chronic pain [6] . Ventral hernia repair (VHR) itself is a common surgical procedure, with approximately 600,000 cases performed annually in the United States and 40,000 in France [2, 7] . The socio-economic burden is subs","cbCaib9AOmixT9KE","https://ap.wps.com/l/cbCaib9AOmixT9KE","pdf",715765,"English","# Introduction\n# Materials and Methods\n# Results\n# Conclusion","[{\"question\":\"What is the study objective regarding panniculectomy combined with ventral hernia repair?\",\"answer\":\"To evaluate the relevance of combining panniculectomy (PAN) with VHR in complex obese patients treated in a specialized centre in France.\"},{\"question\":\"How were complications assessed in this retrospective study?\",\"answer\":\"Preoperative, intraoperative, and postoperative data were collected, and complications were categorized according to Surgical Site Occurrences (SSOs), Surgical Site Infections (SSIs), and Clavien-Dindo classifications.\"},{\"question\":\"What were the main findings after median follow-up?\",\"answer\":\"Minor wound complications increased, but major complications and hernia recurrence were not significantly affected; 11% developed recurrence after a median follow-up of 31 weeks.\"}]","Simultaneous Abdominal Wall Reconstruction and Panniculectomy in High-Risk Complex Patients - A Retrospective Cohort Study | PDF",1790574004]