Fleur-de-lis panniculectomy after bariatric surgery: our experience
| Autor: | Julie Anne O'Brien, Mustafa Akyürek, Zachary M. Hurwitz, John Castle, Richard D. Montilla, Janice F. Lalikos, Raymond M. Dunn, Genevieve B Broderick |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Gastroplasty Dermatologic Surgical Procedures Gastric Bypass Postoperative Complications Lipectomy Weight loss Weight Loss Panniculectomy medicine Humans Obesity Retrospective Studies business.industry Retrospective cohort study Exanthema Middle Aged Symptomatic relief film.actor Subcutaneous Fat Abdominal Surgery Treatment Outcome Fleur-de-lis film Female medicine.symptom business Body mass index Abdominal surgery |
| Zdroj: | Annals of plastic surgery. 68(1) |
| ISSN: | 1536-3708 |
| Popis: | BACKGROUND: Plastic surgeons are faced with increasing numbers of patients presenting for insurance-covered skin excision procedures following bariatric surgery. Panniculectomy for symptomatic relief of rashes is commonly performed, but an isolated infraumbilical amputation-type panniculectomy is a highly unaesthetic procedure, leaving many patients deeply dissatisfied. It may be also fraught with complications due to large incisions and potential for dead-space. In these patients, many surgeons avoid the fleur-de-lis panniculectomy, despite the body contour aesthetic advantage, because of increased time, more scarring, and a perceived increase in complications. METHODS: This is a retrospective chart review of 130 consecutive postbariatric surgery patients who had panniculectomy over a 2-year period at our institution. RESULTS: A total of 30 patients underwent a traditional panniculectomy and 100 patients had a fleur-de-lis panniculectomy. Mean weight loss from bariatric surgery to panniculectomy was 58.2 kg, with an average body mass index (BMI) of 30. Fifty-seven patients had additional procedures performed at the time of panniculectomy. Twenty-two patients (17%) had complications, with 5 in the traditional group (17%) and 17 in the fleur-de-lis group (17%) (P = 1.0). Six males (40%) had more complications compared with 18 females (15.7%) (P = 0.034). Patients with BMI |
| Databáze: | OpenAIRE |
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