Postbariatric Abdominal Contouring: Technical Approach and Quality of Life.

Autor:	El-Gharbawi AH; From the Department of Plastic and Reconstructive Surgery, Mansoura University., El-Sabbagh AH; From the Department of Plastic and Reconstructive Surgery, Mansoura University., Shouman OO; From the Department of Plastic and Reconstructive Surgery, Mansoura University., El-Hadidy MR; From the Department of Plastic and Reconstructive Surgery, Mansoura University., El-Fahar MH; From the Department of Plastic and Reconstructive Surgery, Mansoura University.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery [Plast Reconstr Surg] 2022 Oct 01; Vol. 150 (4), pp. 796-806. Date of Electronic Publication: 2022 Jul 26.
DOI:	10.1097/PRS.0000000000009570
Abstrakt:	Background: Abdominal contouring is a common procedure after bariatric surgery, but few studies on its outcomes have been conducted. The authors measured surgical and functional outcomes after postbariatric abdominal contouring and their effects on quality of life. Methods: Thirty patients, male and female, of different age groups, underwent postbariatric abdominal contouring using traditional abdominoplasty, fleur-de-lis abdominoplasty, or belt lipectomy. The technical approach was decided according to each patient's presentation regarding the amount and extent of skin redundancy. All patients were given a booklet containing simplified questionnaires to assess quality of life and appearance to fill out both before and 6 months after the procedure. Data were collected face-to-face at the outpatient clinic during follow-up, by e-mail, or by messaging. Results: The authors performed traditional abdominoplasty (seven cases), fleur-de-lis abdominoplasty (eight cases), or belt lipectomy (15 cases). Surgical outcomes (operative time, resection weight, blood transfusion, postoperative hemoglobin level, postoperative albumin level, hospital stay, drain period, and complications) were influenced significantly by the procedure type ( p ≤ 0.01). Health-related quality-of-life and appearance scale scores changed significantly from the precontouring stage to the postcontouring stage. This significant change in functional outcome was not correlated to the technical approach. Conclusion: Abdominal contouring surgery improves quality of life after bariatric surgery irrespective of the procedure type. . Clinical Question/level of Evidence: Therapeutic, IV. (Copyright © 2022 by the American Society of Plastic Surgeons.)
Databáze:	MEDLINE
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