Optimization of the Results in Abdominoplasty after Massive Weight Loss | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Article 20, Volume 44, Issue 2, April 2020, Pages 391-395 PDF (24.38 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2020.113508 | ||
| Authors | ||
| Mohamed Naeem El Nahass* ; Ahmed Fergany Saber; Ahmed Abdelaziz Taalab; Tarek Fouad Abdel Hamid Kishk | ||
| The Department of Plastic Surgery, Faculty of Medicine, Menoufia University, Egypt | ||
| Abstract | ||
| Objectives: Assess different modalities and techniques of abdominoplasty post weight loss and post bariatric patients to enhance the results and achieve more cosmetic contouring with less complications. Subjects and Methods: This study included 21 patients by different modalities and trends abdominoplasties in post weight loss and bariatric surgery were performed in Plastic Surgery Department - Shebin El-Kom Teaching Hospital and Menoufia University from January 2017–September 2019. Results: Patients' expectations and satisfaction were varied but in most of situations, patients find their expectation right. All those who think they 'might' have excellent outcome subjectively have an excellent outcome beside 3 patients thought the outcome may be 'very good'. Only one patient had unsatisfied outcome after 'very good' expectation. So the total number of constant impressions were 16/21 (76.1%) while 5/21 (23.9%) of impressions had different opinions. Generally, comparing both outcomes by Wilcoxon rankedsum test, there were no statistically significant difference between both groups of outcomes. There were only 3/21 (14.28%) cases developed complications in our study. These complications were seroma (2 cases) and wound infection (one case). Conclusion: After measuring patient's satisfaction, abdominal girths and complication rate, abdominoplasty was safe and effective maneuver for abdominal contouring with good patient selection. | ||
| Keywords | ||
| Abdominoplasty; Contour surgery; Satisfaction | ||
| References | ||
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1- Gentileschi S., Stefanizzi G., Pino V. and Servillo M.: Abdominoplasty in massive weight loss patient: Modifying the technique to improve the safety. Vol. 72, Journal of plastic, reconstructive & aesthetic surgery: JPRAS. Netherlands, p. 1030-48, 2019. 2- Sterodimas A., Boriani F., Nicaretta B. and Pereira L.H.: Revision Abdominoplasty with Truncal Liposculpting: A 10-Year Experience. Aesthetic Plast Surg. Feb., 43 (1): 155-62, 2019. 3- Brauman D., van der Hulst R.R.W.J. and van der Lei B.: Abdominoplasty with Circumferential Liposuction. Plast. Reconstr. Surg. [Internet]. Aug., 144 (2): 328e-330e, 2019. Available from: http://insights.ovid.com/crossref? an=00006534-201908000-00067. 4- Zammerilla L.L., Zou R.H., Dong Z.M., Winger D.G., Rubin J.P. and Gusenoff J.A.: Classifying Severity of Abdominal Contour Deformities after Weight Loss to Aid in Patient Counseling. Plast. Reconstr. Surg. [Internet]. Dec., 134 (6): 888e-894e, 2014. Available from: http:// content.wkhealth.com/linkback/openurl?sid=WKP TLP:landingpage&an=00006534-201412000-00015 5- Jabaiti S.K.: Risk factors for wound complications following abdominoplasty. Am. J. Appl. Sci., 6 (5): 897- 901, 2009. 6- Ghnnam W., Elrahawy A. and Moghazy M.El.: The Effect of Body Mass Index on Outcome of Abdominoplasty Operations. World J. Plast. Surg., 5 (3): 244-51, 2016. 7- Presman B., Finnerup K., Andresen S.R., Nikolajsen L. and Finnerup N.B.: Persistent pain and sensory abnormalities after abdominoplasty. Plast. Reconstr. Surg. - Glob Open., 3 (11): 1-7, 2015. 8- Ahmed H.O., Arif S.H., Abdulhakim S.A., Kakarash A., Ali Omer M.A., Nuri A.M., et al.: Gender difference in requesting abdominoplasty, after bariatric surgery: Based on five years of experience in two centers in Sulaimani Governorate, Kurdistan Region/Iraq. Int. J. Surg. [Internet], 56 (May): 155-60, 2018. Available from: https://doi.org/ 10.1016/j.ijsu.2018.06.017. 9- Brauman D., van der Hulst R.R.W.J. and van der Lei B.: Abdominoplasty with Circumferential Liposuction. Plast Reconstr Surg [Internet]. Aug., 144 (2): 328e-330e, 2019. Available from: http://insights.ovid.com/crossref? an=00006534-201908000-00067. 10- Pitanguy I. and Radwanski H.N.: Personal approach to aesthetic abdominal deformities. Aesthetic Surg. Abdom Wall., 102-14, 2005. 11- Papadopulos N.A., Meier A.C., Henrich G., Herschbach P., Kovacs L., Machens H-G., et al.: Aesthetic abdominoplasty has a positive impact on quality of life prospectively. J Plast Reconstr Aesthet Surg. May, 72 (5): 813-20, 2019. 12- Friedman T. and Wiser I.: Abdominal Contouring and Combining Procedures. Clin. Plast. Surg. Jan., 46 (1): 41-8, 2019. 13- Vallim M.G.B., Calderoni D.R., Bueno M.A.C., Motta M.M., Basso R. de C.F. and Kharmandayan P.: Patient Versus Surgeon Preferences Between Traditional and Neo-omphaloplasty in Post-bariatric Abdominoplasty. Aesthetic Plast. Surg. Feb., 41 (1): 102-7, 2017. 14- Brauman D., van der Hulst R.R.W.J. and van der Lei B.: Liposuction Assisted Abdominoplasty. Plast. Reconstr. Surg. - Glob Open., 6 (9): e1940, 2018. 15- Saariniemi K.M.M., Salmi A.M., Peltoniemi H.H., Helle M.H., Charpentier P. and Kuokkanen H.O.M.: Abdominoplasty Improves Quality of Life, Psychological Distress, and Eating Disorder Symptoms: A Prospective Study. Plast. Surg. Int., 2014: 1-4, 2014. 16- Vastine V.L., Morgan R.F., Williams G.S., Gampper T.J., Drake D.B., Knox L.K., et al.: Wound complications of abdominoplasty in obese patients. Ann Plast Surg [Internet]. Jan., 42 (1): 34-9, 1999. Available from: http:// www.ncbi.nlm.nih.gov/pubmed/9972715. 17- van Uchelen J.H., Werker P.M. and Kon M.: Complications of abdominoplasty in 86 patients. Plast Reconstr Surg [Internet]. Jun., 107 (7): 1869-73, 2001. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11391211. 18- Duff C., Aslam S. and Griffiths R.: Fleur-de-Lys abdominoplasty- a consecutive case series. Br J Plast Surg [Internet]. Sep., 56 (6): 557-66, 2003. Available from: https:// linkinghub.elsevier.com/retrieve/pii/S0007122603 001747. 19- Vico P.G., De Vooght A. and Nokerman B.: Circumferential body contouring in bariatric and non-bariatric patient. J. Plast. Reconstr. Aesthet Surg. [Internet]. May, 63 (5): 814-9, 2010. Available from: http://www.ncbi.nlm.nih. gov/pubmed/19345658 | ||
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