It depends on the surgery. They might work around it or they might remove it. Normally when they need to remove fat to get access during a surgery they will just throw it away as the body will regenerate the fat cells when needed. However there are also procedures for putting the fat back into place if needed or even put it back in a different place. This may be done to get the body to look more symmetrical after the procedure.
They don’t Remove it. They cut through it and spread you open. Then they try to find the organ through that visceral fat, try to fix what was ailing you, then try to sew you back up.
Then we pray it doesn’t separate. Wounds on obese people do not heal as well in my experience. Many more complications.
Depends entirely on the surgery, but unless you remove skin there’s not any need to remove fat. Smallest incision possible, hold open with tool, do what you gotta, close up. They don’t remove anything that’s not a part of the surgery. You aren’t unzipped like a zipper or something. Fatty layers stay with dermis pretty well.
Removing it is a whole operation in and of itself. See liposuction.
Any other surgery, they cut through it and do what they gotta do then sew the skin up. Most surgeries are laproscopic (keyhole) nowadays anyway. If they can do it that way, they will. Less bleeding, less scaring, less stitches.
It doesn’t just fall out of open surgery wounds if they do open you up. It’s attached lol
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