Cirugía postbariátrica: el último eslabón en el protocolo de cirugía metabólica

Telich-Vidal, José; Ramírez-Sosa, Lino Enrique; Ángeles-Gaspar, Daniel; Telich-Tarriba, José E

doi:10.35366/98343

Cited by 3 publications

(5 citation statements)

References 53 publications

(53 reference statements)

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“…Además, el manejo circunferencial del abdomen tiene la capacidad de modificar el contorno de los muslos laterales y los glúteos, por lo que suele conocerse como un "lower body lift" (levantamiento de la parte inferior del cuerpo). (Telich-Vidal et al, 2020) En el mundo de la cirugía estética existen diferentes tratamientos al momento de trabajar sobre la apariencia del abdomen. Los más comunes son la Liposucción y la Abdominoplastia, reconocidos por sus buenos resultados y escasos índices de riesgo.…”

Section: Resultsunclassified

“…Su principal diferencia con respecto a una abdominoplastia formal consiste en no tra-tar la laxitud muscular ni reposicionar la cicatriz umbilical. (Telich-Vidal et al, 2020) Figura 2. Se aprecia la corrección del contorno abdominal, glúteo y cadera después de la realización de una abdominoplastia circunferencial.…”

Section: Resultsunclassified

“…Fuente: (Telich-Vidal et al, 2020) En la evolución de la técnica de abdominoplastía, fueron muchas las descripciones que han sido comunicadas. Cada una de ellas ha generado una corriente quirúrgica o una nueva modalidad en la resección, conformando un grupo denominado dermolipectomías clásicas.…”

Section: Resultsunclassified

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Abdominoplastia posterior a la cirugía bariátrica

Suárez¹,

Colorado²,

Morales³

et al. 2022

RECIMUNDO

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El cuerpo humano debe vivir en equilibrio. Una de las discusiones llevadas a cabo dentro del campo médico es la apariencia física y su delgada línea entre la salud y la vanidad. El control constante de la relación talla-peso del ser humano es el principal indicio de salud del ser vivo, a medida que los años de vida se acumulan, se descuida dicho control llegando a convertirse en un problema de salud multifocal conocido obesidad. Cuando existe una reducción drástica de peso, va dejando secuelas físicas como los excesos de piel para lo cual, la disciplina de la cirugía plástica reconstructiva ofrece distintas soluciones. Como describe la literatura, la cirugía bariátrica cumple, en la mayoría de los casos, el objetivo en cuanto a la reducción considerable de peso que permite la reducción de mortalidad asociada la obesidad, sin embargo, también se ha demostrado que la solución quirúrgica no sólo se centra en la intervención bariátrica, sino que se ha desarrollado un protocolo de apoyo posterior que aseguran el éxito a largo plazo como es el apoyo nutricional, psicológico y estético del paciente. Se realiza una revisión bibliográfica que proponer las ideas generales que permiten conocer el proceso de la abdominoplastia posterior a la cirugía bariátrica basados en las publicaciones académicas disponibles en los espacios digitales certificados. El proceso quirúrgico de reconstrucción de la silueta corporal post cirugía bariátrica pudiera verse como una necesidad meramente estética, sin embargo, se demuestra que este proceso forma parte fundamental en las garantías de control de peso de la misma cirugía bariátrica pues la percepción propia del paciente, quien se percibe a sí mismo como amorfa puede generar una disconformidad con el resultado a todo el procedimiento y considerando la solución a la obesidad como una generación a un nuevo problema abandonando por completo cualquier esfuerzo necesario para el éxito planteado. La abdominoplastia post bariátrica no es una operación mínima. Se debe considerar que los tejidos a retirar son importantes, además suele combinarse con otros procedimientos como liposucción y la mastopexia como parte de la reconstrucción necesaria y planificada de la silueta corporal del paciente.

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Section: Resultsunclassified

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Abdominoplastia posterior a la cirugía bariátrica

Suárez¹,

Colorado²,

Morales³

et al. 2022

RECIMUNDO

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“…Body contouring surgery after massive weight loss has a positive impact on the patient life quality, so plastic surgeons must be familiar with perioperative management to achieve safe surgeries with satisfactory results. 6 Male population still represent a minority in body contouring surgery, consequently plastic surgeons could tend to apply female aesthetic techniques to male patients. 7 Given the unique considerations in this group of patients, and a paucity of literature available to guide plastic surgeons, we decided to share our experience in male contouring surgery.…”

Section: Discussionmentioning

confidence: 99%

Body Contour in the Post-Bariatric Male Patient

Garza

2024

MRPRS

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Background: Obesity is currently considered a public health problem. Bariatric procedures have become an important part of obesity management and, consequently, the number of male patients seeking post-bariatric reconstructive procedures have increased. Therefore, the clinical approach and understanding of the body contour of this population have become more relevant. The goal of post-bariatric reconstruction is to enhance the male silhouette through removal of skin and adipose tissue excess, and abdominal rectus diastasis repair. Material and Methods: We conducted a retrospective study at the Plastic and Reconstructive Surgery Department of the National Medical Center “20 de Noviembre”. All male patients referred to our department to start a post-bariatric reconstruction protocol from January 2018 to December 2022 were included in this study. Results: In total, 15 patients who underwent corporal contouring procedures were included; median age was 49.2 years with minimum of 33 years, and a maximum of 57 years. Median Body mass index was 28.4 kg/m2 with minimum of 22 kg/m2 and maximum of 38 kg/m2 . All patients were treated 18 months after their bariatric surgery. All patients underwent an abdominoplasty as a body contouring procedure. 4 (26.7%) patients presented complications related to the surgery. Conclusion: We propose a comprehensive and systematic approach to massive weight loss for male patients, suggesting an abdominal marking based on the patient's clinical features and the expected results avoiding feminization of the abdominal body contour.

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“…Due to the increasing prevalence of obesity in recent years, bariatric procedures have become more common and post-bariatric are seeking reconstructive procedures. Body contouring surgery after massive weight loss has a positive impact on the patient life quality, so plastic surgeons must be familiar with perioperative management to achieve safe surgeries with satisfactory results [6]. Male population still represent a minority in body contouring surgery, consequently plastic surgeons could tend to apply female aesthetic techniques to male patients [7].…”

Section: Discussionmentioning

confidence: 99%

Body Contour in the Post-Bariatric Male Patient

Zúñiga-Garza,

Salgado-Adame,

Rojas-Gutiérrez

et al. 2024

MPS

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Background: Obesity is currently considered a public health problem. Bariatric procedures have become an important part of obesity management and, consequently, the number of male patients seeking post-bariatric reconstructive procedures have increased. Therefore, the clinical approach and understanding of the body contour of this population have become more relevant. The goal of post-bariatric reconstruction is to enhance the male silhouette through removal of skin and adipose tissue excess, and abdominal rectus diastasis repair. Material and Methods: We conducted a retrospective study at the Plastic and Reconstructive Surgery Department of the National Medical Center "20 de Noviembre". All male patients referred to our department to start a post-bariatric reconstruction protocol from January 2018 to December 2022 were included in this study. Results: In total, 15 patients who underwent corporal contouring procedures were included; median age was 49.2 years with minimum of 33 years, and a maximum of 57 years. Median Body mass index was 28.4 kg/m 2 with minimum of 22 kg/m 2 and maximum of 38 kg/m 2 . All patients were treated 18 months after their bariatric surgery. All patients underwent an abdominoplasty as a body contouring procedure. 4 (26.7%) patients presented complications related to the surgery. Conclusion: We described a comprehensive and systematic approach to massive weight loss for male patients, suggesting an abdominal marking based on the patient's clinical features and the expected results avoiding feminization of the abdominal body contour.

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Cirugía postbariátrica: el último eslabón en el protocolo de cirugía metabólica

Abstract: Conflicto de intereses: Los autores declaran no tener conflicto de intereses.

Cited by 3 publications

References 53 publications

Abdominoplastia posterior a la cirugía bariátrica

Abdominoplastia posterior a la cirugía bariátrica

Body Contour in the Post-Bariatric Male Patient

Body Contour in the Post-Bariatric Male Patient

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