Your Operation Begins
All of the necessary steps have been taken, and the surgery is about to begin. The surgical team is busy, positioning you as ordered by the surgeon and arranging you in a sterile field to virtually eradicate the potential for infection. Fast asleep from the anesthesia, your breathing is being controlled and vital signs maintained by the anesthesiologist.
The surgeon has scrubbed and gowned up and is ready to begin your panniculectomy. With his scalpel, he will create an incision vertically from the sternum to the Mons pubis, then again horizontally crossing the pubic region. The entire apron of skin will be excised, measured and weighed, then delivered to pathology for further exploration. A pannus can weigh anywhere between 3 and 150 pounds.
The remaining skin will be pulled up and sutured. After a panniculectomy or a tummy tuck surgery, the surgeon will place suction or vacuum drains that he stitches into the incision to keep fluid from building up and creating problems. Tape will be placed over the surgical area, as will as a dressing and binder, which will help to keep everything tight and properly in place.
The Recovery Room
Next, you will be sent into the recovery room where you will remain until you are fully awake and breathing on your own. Here you will be monitored closely for any post operative complications. Experienced staff will be here to address any need you may have and keep in close contact with the surgeon, who will supervise your progress closely.
Most of this time will be spent sleeping, but you might remember parts of this experience. The nurse will give you oxygen, and medications to control pain and any feelings of nausea you might encounter. Surgery can last from 2 to 5 hours and recovery another 1 to 3 hours, after which you will be returned to your hospital room.
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