Abdominoplastia vertical para tratamento do excesso de pele abdominal após perdas ponderais maciças

Abstract

Vertical abdominoplasty for treatment of excess abdominal skin after massive weight loss Vertical abdominoplasty for treatment of excess abdominal skin after massive weight loss Abdominoplastia vertical para tratamento do excesso de pele abdominal após perdas ponderais maciças ABSTRACT Background: Bariatric surgeries are becoming increasingly common in the treatment of morbidly obese patients. The enormous weight loss resulting from these procedures causes excessive skin and subcutaneous tissue throughout the body, especially in the abdominal region. The objective of this study was to present the technique of vertical abdominoplasty as an alternative for resection of excess skin in ex-obese patients. Methods: We retrospectively evaluated the records of 40 patients who underwent vertical abdominoplasty between 2004 and 2009. The degree of patient satisfaction was assessed through a subjective scale, with scores ranging from 0 to 10. Results: Twenty-five percent of the patients had minor complications (3 seromas, 3 minor dehiscences, and 5 hypertrophic scars), which were all treated on an outpatient basis. Sixty-seven percent of the patients reported high satisfaction and considered their results as good (grades 7 or 8) or excellent (grades 9 or 10). Conclusions: The vertical abdominoplasty technique appears to be a new option for the treatment of excess abdominal skin in ex-obese patients.

Abdominoplastia convencional em paciente pós-bariátrico

“…A obesidade hoje em dia é tratada como doença, sobretudo por causa dos inconvenientes na autoestima, agravamento ou surgimento de quadros de hipertensão e diabetes mellitus [1][2][3] . A perda significativa de peso devido ao recondicionamento físico, dieta, exercícios e em consequência de procedimento cirúrgico -cirurgia bariátrica, parece acelerar de forma notável a perda ponderal, mas acaba expondo a grave desordem de caráter estético e funcional, ocasionando flacidez em diversos segmentos corporais, o que gera grande transtorno para o indivíduo 4,5 .…”