Cirurgia do contorno corporal no paciente após perda ponderal maciça: experiência de três anos em hospital público secundário

Abstract

submetidos a tratamento de obesidade mórbida por meio de gastroplastia redutora, com sucesso para a técnica, ou emagrecimento por método não-cirúrgico. Os critérios de exclusão foram tabagismo, intenção gestacional e instabilidade ponderal, exigindo-se peso estável por pelo menos seis meses após atingido a perda ponderal satisfatória. resultados. Dos 98 pacientes operados, 97% eram do sexo feminino, com idade média de 40,5 anos e o método de emagrecimento foi cirúrgico em 88% deles. Das 177 cirurgias plásticas realizadas, 46% foram abdominoplastias, seguidas por mastoplastias (15%), suspensões de coxa (13%) e braquioplastias (12%). O período médio de internação foi dois dias e as principais complicações diagnosticadas foram: seroma (28%), necroses/deiscências de pequeno porte (18%), necroses/ deiscências de grande porte (4%), hematomas (4%), tromboflebite superficial de veia safena (2%) e trombose venosa profunda (1%). ConClusão. O desejo de cirurgias para melhora do contorno corporal após perda ponderal maciça constitui demanda crescente. Cabe ao cirurgião plástico conhecer as peculiaridades clínicas e os riscos maiores de complicações desses pacientes, ponderar suas expectativas, analisar os resultados e manter a busca constante pelo aperfeiçoamento das técnicas cirúrgicas.Unitermos: Cirurgia Plástica. Obesidade mórbida.CIrurgIa do Contorno Corporal no paCIente após perda ponderal MaCIça: experIênCIa de três anos eM hospItal públICo seCundárIo

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

“…The mean score obtained on the Moorehead-Ardelt quality of life questionnaire applied to 36 patients was 2.18. The present study showed that the majority of the patients consisted of women, as well as other studies [13][14][15][16][17][18] . Likewise, the mean age of 41 years was similar to that of other works [15][16][17]19 , but below the age of 44 years in an American work 14 and 48 years evidenced by other series 13,20 .…”

“…The present study showed that the majority of the patients consisted of women, as well as other studies [13][14][15][16][17][18] . Likewise, the mean age of 41 years was similar to that of other works [15][16][17]19 , but below the age of 44 years in an American work 14 and 48 years evidenced by other series 13,20 . The mean BMI before plastic surgery of 27.4kg/m 2 was similar to that found by other authors [13][14][15][16][17] , but well below the BMI of 35.6Kg/m 2 verified by Shermak et al 21 .…”

“…Likewise, the mean age of 41 years was similar to that of other works [15][16][17]19 , but below the age of 44 years in an American work 14 and 48 years evidenced by other series 13,20 . The mean BMI before plastic surgery of 27.4kg/m 2 was similar to that found by other authors [13][14][15][16][17] , but well below the BMI of 35.6Kg/m 2 verified by Shermak et al 21 . Likewise, the mean delta-BMI of our patients, of 18.25±8.83kg/m 2 , was below the 20.7kg/m 2 and 22.3kg/ m 2 verified in other studies 14,20 .…”

“…In patients submitted to abdominoplasty, the technique chosen was determined by the type below other studies with rates ranging from 35 to 50% [14][15][16]20,21 . Suture dehiscence was the main complication, followed by seroma, as in other series 13,14,20 .…”

Metabolic and infectious pathologies in Brazilian medical literature: a review

“…Volterra et al 41 described the effects of neuroendocrine obesity induction on systemic hemodynamics and left ventricular function in normotensive rats. Orpheu et al 42 detected a time dependent increase in the demand for body contour surgery in massive weight loss patients from pretreatment through bariatric surgery and subsequently over a three-year follow up. Kurebayashi et al 43 analyzed nurses' perceptions about diseases that are treated by acupuncture and found that it was used to treat obesity among other morbid situations.…”