Anthropometric and clinical profiles of post-bariatric patients submitted to procedures in plastic surgery

Rosa, Simone Corrêa; Macedo, Jefferson Lessa Soares de; Casulari, Luíz Augusto; Canedo, Lucas Ribeiro; Marques, João Vitor Almeida

doi:10.1590/0100-6991e-20181613

Cited by 7 publications

(3 citation statements)

References 21 publications

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“…Structure data section analysis showed unbalance between risks and benefits, but most (81.94%) of the websites included relevant figures and graphs. skin resulting after massive weight loss is considered stigmatizing, and it leads to a decline in quality of life and can increase risk of weight regain [15]. The main part of postbariatric patients defines loose skin as a negative consequence of surgery [16].…”

Section: And 4)mentioning

confidence: 99%

Quality Assessment of Online Information on Body Contouring Surgery in Postbariatric Patient

et al. 2019

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Background Nowadays, we have to face the fact that the Web represents one of the most important sources of information for patients. Postbariatric patients in particular are usually very motivated, and they are enthusiastic users of the Web as a source of information on the different types of surgery they could undergo after their weight loss in order to reshape and remodel their body thus regaining physical and functional wellness and dignity. The aim of the study was to assess information on the four most commonly performed postbariatric procedures worldwide, tummy tuck, breast, arm and thigh lift, with the same scale. Methods Google and Yahoo have been probed for the keywords ''Post bariatric Mastopexy OR breast lift'' and ''Post bariatric abdominoplasty OR tummy tuck'' and ''Post bariatric brachioplasty OR arm lift'' and ''post bariatric thigh lift''. The first 50 hits were included, and the quality of information was evaluated with the expanded EQIP scale. Results There was a critical lack of information about qualitative risks and side-effect description, treatment of potential complications, alert signs for the patient and precautions that the patient may take. Moreover, there was poor information about the sequence of the medical procedure, quantitative benefits and risks and quality of life issues after the procedure, and often, there were no other sources of information. Conclusions Due to the poor and not reliable information offered by the Web, health professionals should seek for a good communication practice with their patients.

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Section: And 4)mentioning

confidence: 99%

Quality Assessment of Online Information on Body Contouring Surgery in Postbariatric Patient

et al. 2019

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“…Zwischen 17 % und 55 % wird die allgemeine Komplikationsrate bei jeglicher Art von Straffungsoperationen nach massivem Gewichtsverlust (MWL) angegeben. Bauchdeckenstraffungen stellen dabei weltweit den Hauptanteil mit einer allgemeinen Komplikationsrate zwischen 26 und 51 % dar [1,2,3,4,5,6,7,8]. Im Gegensatz zu einer rein ästhetischen Indikation sind die Minor-und Major-Komplikations-Raten der postbariatrischen Patienten bei konventionellen Abdominoplastiken höher [9,10].…”

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Bauchdeckenstraffungen und Hidradenitis suppurativa (Acne inversa) bei Patienten nach massivem Gewichtsverlust

Ziegler,

Sakova,

Reith

2023

Zentralbl Chir

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ZusammenfassungPostbariatrische Operationen nach massivem Gewichtsverlust (MWL) sind mit erhöhten Minor- und Major-Komplikationen (17–55%) vergesellschaftet. Liegt zusätzlich eine langjährige Leidensgeschichte einer Hidradenitis suppurativa/Acne inversa (HS) im Unterbauch- und Leistenbereich vor, können infektionsbedingte Komplikationen in nahe 100% auftreten. Diese erfordern ein differenziertes prä-, intra- und postoperatives Therapieregime.Von 2010 bis 2021 erfolgten bei n = 12 (Frauen n = 8 [66,6%], Männer n = 4 [33,3%]) entweder eine konventionelle (Pittsburg Rating Scale [PRS] Grad 2, n = 6) oder Fleur-de-Lis-(FDL-)Abdominoplastik (PRS Grad 3, n = 6) nach massivem Gewichtsverlust. Alle Patienten hatten gleichzeitig eine langjährige HS am Unterbauch/Leistenbereich (Hurley-Klassifikation Grad 2: n = 10, Grad 3: n = 2). Die Prävalenz lag bei 1,09%.In einem Follow-up, das 12 Monate nach der Bauchdeckenstraffung erfolgte, wurden die postoperativen Minor- und Major-Komplikationen in Zusammenhang mit möglichen Risikofaktoren gebracht (Alter, Art der Gewichtsabnahme, Nikotinabusus etc.).Das mittlere Alter betrug 45,2 Jahre (± 10,3), der mittlere BMI zur Operation 33,24 kg/m2 (± 8,7), der durchschnittliche BMI-Verlust lag bei 19,01 kg/m2 (± 5,9) und der maximale BMI vor Gewichtsabnahme zeigte 52,25 kg/m2. Die Hidradenitis suppurativa bestand im Durchschnitt seit 31,5 Jahren, und n = 2 (16,6%) hatten aktuell eine medikamentöse Therapie dagegen. Bei allen Patienten lagen noch weitere Lokalisationen am Körper vor und bei 66,6% erfolgte bisher mindestens eine operative Behandlung der HS. Nikotinabusus bestand aktuell bei 42,0%. Die durchschnittliche Operationszeit lag bei 98 min und die mittlere Resektatmenge betrug 2210 g. Die allgemeine Komplikationsrate betrug 83,0% (n = 10). Von den 12 Patienten hatten 8 Major-Komplikationen mit erneuter Operation in Narkose. Keiner hatte ein infiziertes Hämatom, keiner einen Abszess/Infektion und keiner eine akute Nachblutung innerhalb von 24 h postoperativ.Schwere infektionsbedingte Weichteilkomplikationen, wie sie nach gängiger Meinung zu erwarten wären, traten bei keinem der Patienten mit dem von uns vorgestellten Antibiotikaregime auf. Eine Inspektion der Bauchdecke und Leistenregion 4 Wochen vor dem geplanten Eingriff ist empfehlenswert, um ggf. präoperativ eine Therapie der HS einzuleiten.

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“…Body mass index (BMI) is a morphometric parameter, which is frequently used in preoperative counseling and for patient selection. It is often recommended to consider BCS in patients with a BMI less than 30 kg/m 2 , because it has been repeatedly reported by us 1 and others 2–7 that patients in higher BMI ranges have more postoperative complications. However, other groups have found that amount and method of weight loss, 8,9 preweight loss BMI and Δ BMI, 10 or weight of resected tissue, 11 rather than the current BMI, relate to complications.…”

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confidence: 99%

The Edmonton Obesity Staging System Predicts Postoperative Complications After Abdominoplasty

Šimunović

Bonaventura²,

Schneider³

et al. 2021

Ann Plast Surg

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Background This study investigates the relationship between Edmonton Obesity Staging System (EOSS) and the occurrence of postoperative complications after abdominoplasty in massive weight loss patients. Methods A single-institution retrospective review of patients undergoing abdominoplasty between 2009 and 2019 after massive weight loss. Demographic data, laboratory findings, known risk factors for postoperative complications, as well as data on major and minor complications were extracted from the patient charts. Logistic regression models were used to investigate the relationship between the variables. Results Four hundred and five patients were included in the study. The prevalence of EOSS stages was: 0 (no comorbidities, N = 151, 37%), 1 (mild conditions, N = 40, 10%), 2 (moderate conditions, N = 149, 36%) and 3 (severe conditions, N = 70, 17%). Regression analysis showed that, controlling for body mass index (BMI), BMI Δ (maximal BMI − BMI at presentation), bariatric surgery, volume of resected tissue, and duration of surgery, EOSS stage significantly associated with the occurrence of postoperative complications. Compared with EOSS stage 0, EOSS stages 2 and 3 patients were associated with significantly more minor and major complications, respectively. The volume of resected tissue, BMI Δ, and age were associated with the occurrence of major complications. A regression model of comorbidities comprising the EOSS revealed a significant association of variables diabetes mellitus and hypertension with the occurrence of postoperative complications. Conclusions Edmonton Obesity Staging System is a robust predictor of postoperative complications in abdominoplasty.

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Anthropometric and clinical profiles of post-bariatric patients submitted to procedures in plastic surgery

Cited by 7 publications

References 21 publications

Quality Assessment of Online Information on Body Contouring Surgery in Postbariatric Patient

Quality Assessment of Online Information on Body Contouring Surgery in Postbariatric Patient

Bauchdeckenstraffungen und Hidradenitis suppurativa (Acne inversa) bei Patienten nach massivem Gewichtsverlust

The Edmonton Obesity Staging System Predicts Postoperative Complications After Abdominoplasty

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