Panniculus traction and Pfannenstiel incision for hysterectomy in a super obese patient with early-stage endometrial cancer

Background: We report a case of abdominal hysterectomy and bilateral salpingo-oophorectomy by Pfannenstiel incision after retraction of panniculus using the Kent retractor for a super obese patient with stage IA endometrial cancer. Case: A 40-year-old woman with stage IA endometrial cancer was transferred to our hospital for treatment. She had a BMI of 64 kg/m2. We performed abdominal hysterectomy and bilateral salpingo-oophorectomy. The panniculus was extracted using No.1 sutures with bilateral Kent retractors during surgery, which allowed us to identify the Pfannenstiel line and perform the Pfannenstiel incision. She was discharged six days after the surgery without any complication. Conclusion: Abdominal hysterectomy with retraction of panniculus and Pfannenstiel incision may be one of the feasible options for super obese patients.

Endometrial carcinoma; Hysterectomy; Morbid obesity; Panniculus; Transverse skin incision

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