Comment on (Panniculectomy Combined with Bariatric Surgery by Laparotomy: An Analysis of 325 Cases)

We would be happy to comment on the study by Dr. Colabianchi et al. on the role of synchronic panniculectomy and bariatric surgery when performed by laparotomy. As the authors mention in the article, bariatric surgery can be combined with panniculectomy during the first stage. Although controversial, the authors present the experience of 325 cases [1]. Interestingly, there are few reports that mention this approach compared to performing a regular panniculectomy separately from bariatric surgery and only after the weight loss of the patient has been stabilized. This last approach could be better in order to perform an optimal and maximal panniculectomy with a better esthetical result. However, most of the patients will not reach a perfect aesthetic result. In fact, it is not the goal for bariatric surgery. The goal is improving quality of life and reducing the comorbidities associated with the severe obesity [2]. For this purpose, the initial panniculectomy can be more interesting avoiding a second surgery to the patient, with acceptable final results and leading to a better quality of life since the early beginning after bariatric surgery [3].