West William, Nemov Valerie C, Le Nicole K, Whalen Kristen, Dayicioglu Deniz, McKeon Bri Anne
Department of Medicine, University of South Florida Health Morsani College of Medicine, Tampa, USA.
Department of Plastic Surgery, University of South Florida Health Morsani College of Medicine, Tampa, USA.
Cureus. 2024 Aug 29;16(8):e68138. doi: 10.7759/cureus.68138. eCollection 2024 Aug.
Panniculectomy and abdominoplasty are two forms of abdominal body contouring commonly performed. There are literature reports of healthcare providers citing abdominoplasty as a contraindication to future pregnancy due to potential risks to the patient and fetus. Panniculectomy, outside of the reduced risks from the lack of rectus muscle plication, would have similar effects on the patient and fetus in future pregnancies. Yet, abdominal contouring surgery is being performed in women of childbearing age with increasing frequency, meriting further research to explore the true safety profile of pregnancy after body contouring surgeries. Here, we present a case report of a woman who underwent two full-term vaginal deliveries after undergoing a panniculectomy due to massive weight loss from prior gastric bypass. While she had high utilization of healthcare services throughout her pregnancies, she experienced no significant adverse pregnancy outcomes. Our report is consistent with current literature, suggesting that prior panniculectomy should not be a contraindication to pregnancy.
腹壁成形术和腹部整形术是两种常见的腹部塑形手术。有文献报道，医疗服务提供者将腹部整形术视为未来怀孕的禁忌症，因为这对患者和胎儿存在潜在风险。除了因缺乏腹直肌折叠而降低的风险外，腹壁成形术对患者和未来怀孕的胎儿会有类似影响。然而，腹部塑形手术在育龄女性中的实施频率越来越高，值得进一步研究以探索塑形手术后怀孕的真正安全性。在此，我们报告一例因先前胃旁路手术导致大量体重减轻而接受腹壁成形术的女性，她经历了两次足月阴道分娩。虽然她在整个孕期对医疗服务的利用率很高，但并未出现重大不良妊娠结局。我们的报告与当前文献一致，表明先前的腹壁成形术不应成为怀孕的禁忌症。
