Dermalipectomy for Body Contouring after Bariatric Surgery in Aegean Region of Turkey

Menderes, Adnan; Baytekin, Caghan; Hacıyanlı, Mehmet; Yılmaz, Mustafa

doi:10.1381/096089203322190880

Cited by 35 publications

(39 citation statements)

References 14 publications

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“…Índices reportados para trombose venosa profunda de 0,04% a 2,9% na população geral submetida a abdominoplastias podem atingir 8,9 % no segmento pós-perda ponderal que ainda mantém obesidade. A necessidade de medidas preventivas é uma constante entre os autores, que recomendam os dispositivos de compressão intermitente da panturrilha no transoperatório, uso de heparina profilática, meias de compressão no pós-operatório, além de deambulação precoce e redução do tempo cirúrgico [29][30][31][32][33] . A redução do tempo cirúrgico exige grande sincronização das equipes médicas.…”

Section: Discussionunclassified

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

Orpheu¹,

Coltro²,

Scopel³

et al. 2009

Rev. Assoc. Med. Bras.

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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

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Section: Discussionunclassified

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

Orpheu¹,

Coltro²,

Scopel³

et al. 2009

Rev. Assoc. Med. Bras.

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“…In total, 81.3% of 16 female patients reported ''excellent'' adaptation in this domain, following abdominoplasty. As above, Menderes et al 48 did not specifically evaluate social function.…”

Section: Social Functionmentioning

confidence: 99%

“…Four of these were comparable cohort studies (two two-group design 48,50 and two four-group design 51,52 ) and five were descriptive or case-series studies, 44,45,47,49,53 as seen in Table 1. Studies were published in 2003-2013.…”

Section: Description Of Studiesmentioning

confidence: 99%

“…Of these, one study in particular considered appearance matters. Menderes et al 48 performed a pretest-posttest study in Turkey among 11 morbidly patients (mean age 37.4 years, ranging from 24 to 65 years) who underwent bariatric and body contouring surgery. The sample included four male and seven female participants.…”

Section: Primary Quality Of Life Outcomes Following Body Contouring Fmentioning

confidence: 99%

“…Menderes et al 48 concentrated on participants' measurement of appearance rather than any evaluation of their physical symptoms.…”

Section: Physical Function and Painmentioning

confidence: 99%

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Quality of life among adults following bariatric and body contouring surgery: a systematic review

Gilmartin

Bath‐Hextall

Maclean

et al. 2016

JBI Database of Systematic Reviews and Implementation Reports

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Weight loss following bariatric surgery is associated with significant improvements in obesity-related comorbidities, body satisfaction and psychosocial outcomes, at least in the short term. However, in the context of extreme weight loss, body image and appearance may worsen again because the ''excess'' or ''loose'' skin can lead to both functional and profound dissatisfaction with appearance. These concerns have led to an increasing uptake of post-bariatric surgery, ''body-contouring'' procedures but the implications for quality of life (QoL) have not been thoroughly considered. Objective/purposeThe objective was to identify the best available evidence regarding the QoL outcomes for adults following bariatric and body contouring surgery. Inclusion criteria Types of participantsThe review considered studies involving people aged 18 years and beyond who underwent bariatric surgery and body contouring surgery. Types of interventionsThe review considered studies that evaluated bariatric surgery as well as body contouring surgery. Types of studiesThe review considered both experimental and epidemiological study designs. OutcomesThe primary outcomes were QoL as measured by validated tools at less than two years, two to five years and more than five years following body contouring surgery. The secondary outcomes were adverse events, unsatisfactory aesthetic appearance and weight gain. Search strategySix databases were searched, including Cochrane Central, MEDLINE, Embase, Web of Science, PsycINFO and CINAHL. Studies published from 1954 to 2014 were considered. Additional searches for unpublished studies were undertaken in BIOSIS citation index, Register of Current Controlled Trials and Global Health Observatory. Methodological qualityThe methodological quality of eligible studies was assessed independently by two reviewers using the Joanna Briggs Institute quality assessment tool. Data extractionData extraction from the included studies was undertaken and summarized independently by two reviewers using the standardized Joanna Briggs Institute data extraction tool. Data synthesisStudies were too heterogeneous and could not be pooled in statistical meta-analysis. Therefore, the data results are presented as a narrative summary in relation to the outcomes of interest. ResultsNine quantitative studies (four comparable cohort studies, including two group design and two four-group designs and five descriptive or case-series studies) were included in the review. The included studies reported significant clinical improvements in appearance, wellbeing and QoL. These included primary outcomes pointing to body image satisfaction, improved self-esteem and confidence, improved physical function/pain and improved social function. The secondary outcomes were related to adverse events in the early postoperative period and reported wound healing problems, including seromas, partial necrosis, dehiscence, hematoma and anemia because of blood loss. Also, some data sets shed light on appearance-related distress and body dysphoria post su...

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Plastic Surgical Corrections After Massive Weight Loss

2011

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Dermalipectomy for Body Contouring after Bariatric Surgery in Aegean Region of Turkey

Abstract: For markedly redundant skin after massive weight loss, dermalipectomy is the only treatment. This improves the patient's general, sexual and bodily self-consciousness.

Cited by 35 publications

References 14 publications

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

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

Quality of life among adults following bariatric and body contouring surgery: a systematic review

Plastic Surgical Corrections After Massive Weight Loss

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