Código numérico 260 Las intervenciones actuales de ritidectomía tienden a emplear abordajes menos extensos, con postoperatorios más sencillos. Los autores exponen las bases anatómicas de las técnicas de suspensión con suturas tractoras que remolcan los tejidos anulando los ligamentos de retención ósteo-músculo-cutáneos. Se analizan y emplean múltiples vectores de corrección.

Weight loss surgery (WLS) is an effective group of procedures with a low rate of complications, preventing or treating several cardiovascular co morbidities associated with morbid obesity. Pain management in the preoperative needs special consideration in this population because of different aspects, specially the theoretical need for opioid avoidance, generally used in the postoperative of major surgeries. This literature review assesses the available information on analgesic strategies for WLS, with a special approach on multimodal settings and possible alternatives. Well-controlled studies are needed to determine the level of recommendation for individual therapies and multimodal regimens.

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Submit Manuscript | http://medcraveonline.com evidence, clinical studies with adequate follow up, supporting great clinical outcomes, however there is still a lack of information in the population regarding advantages, limitations, inclusion and exclusion criteria to be considered for this type of procedures. 3,4 7. Lee PC, Dixon J. Bariatric-metabolic surgery: A guide for the primary care physician. Aust Fam Physician. 2017;46(7):465-471.Citation: Tarquino PF, Pedraza JE, Gamboa JSB. Bariatric surgery patient: is the patient a well-understood universe?

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