Přispěvatelé: |
University of Helsinki, Faculty of Medicine, Doctoral Program in Clinical Research, Helsingin yliopisto, lääketieteellinen tiedekunta, Kliininen tohtoriohjelma, Helsingfors universitet, medicinska fakulteten, Doktorandprogrammet i klinisk forskning, Kääriäinen, Minna, Koljonen, Virve, Tukiainen, Erkki |
Popis: |
Background. After significant weight loss due to surgical or non-surgical methods, the skin and soft tissue around the body do not normalize or become as tight as it was before weight change. The excess redundant skin can cause functional, physical, and physiological challenges. Lower body contouring surgery (LBCS) is the only effective treatment to remove redundant skin after massive weight loss (MWL). Aims. LBCS was evaluated with respect to prevalence, outcomes, preceding muscle strength, and its effect on pregnancy and delivery in patients who had significant, redundant skin folds due to MWL. Main results. Altogether, 1089 (14.1%) of the 7703 bariatric patients underwent LBCS during 1998- 2016 in Finland. Abdominoplasty was the most common lower body contouring procedure (89%). The median latency between bariatric surgery (BS) and LBCS was 31 months. In research data, of the 1 028 503 total pregnancies and deliveries the study period, 92 women had had LBCS before pregnancy and delivery between 1999 and 2016.These 92 women had planned Caesarean sections more often (p |