PDF(Pubmed)
Abstract：
UNASSIGNED: Weight loss after bariatric surgery causes very important modifications to the patient\'s silhouette. Abdominal fat and skin excess reduction are associated with several complications. The most frequent are seroma and hematoma whereas major complications, such as pulmonary embolism, are less frequent. This study aimed to describe our technical procedure for abdominoplasty in patients with massive weight loss after bariatric surgery.
UNASSIGNED: In total, 196 patients were included. All patients who underwent abdominoplasty classic (group A) and abdominoplasty with the preservation and lift of Scarpa fascia (group B) and with umbilical transposition between May 2018 and May 2021 were included. Patients with concomitant correction of ventral hernia were excluded. Demographic and operative data were analyzed according to comorbidities and postoperative complications.
UNASSIGNED: There were 160 (81.6%) women. The mean age was 43.6 years; the mean weight was 86.7 kg; and the mean BMI was 28.6 kg/m2. Five patients (2.5%) presented postoperative seroma. Four patients (2%) presented partial dehiscence/skin necrosis one of them requiring a revision. Finally, 26 patients presented a postoperative complication, with an overall incidence of 12.6%. The average postoperative hospital stay was 3.6. The rates of seroma were significantly higher in men, patients with a BMI > 30 kg/m2, and aged >50 years.
UNASSIGNED: Preserving Scarpa Fascia during surgical post-bariatric patient procedures reduces the seroma formation and the scar complication and reduces the tension of the inguinal-pubic region with correction of our deformation after weight loss. Improves reducing the drain and reducing seroma incidence suction and hospital stay.
UNASSIGNED: In total, 196 patients were included. All patients who underwent abdominoplasty classic (group A) and abdominoplasty with the preservation and lift of Scarpa fascia (group B) and with umbilical transposition between May 2018 and May 2021 were included. Patients with concomitant correction of ventral hernia were excluded. Demographic and operative data were analyzed according to comorbidities and postoperative complications.
UNASSIGNED: There were 160 (81.6%) women. The mean age was 43.6 years; the mean weight was 86.7 kg; and the mean BMI was 28.6 kg/m2. Five patients (2.5%) presented postoperative seroma. Four patients (2%) presented partial dehiscence/skin necrosis one of them requiring a revision. Finally, 26 patients presented a postoperative complication, with an overall incidence of 12.6%. The average postoperative hospital stay was 3.6. The rates of seroma were significantly higher in men, patients with a BMI > 30 kg/m2, and aged >50 years.
UNASSIGNED: Preserving Scarpa Fascia during surgical post-bariatric patient procedures reduces the seroma formation and the scar complication and reduces the tension of the inguinal-pubic region with correction of our deformation after weight loss. Improves reducing the drain and reducing seroma incidence suction and hospital stay.
摘要：
■减肥手术后的体重减轻会对患者的轮廓造成非常重要的改变。腹部脂肪和皮肤过度减少与几种并发症有关。最常见的是血清肿和血肿，而主要的并发症，比如肺栓塞,不太频繁。这项研究旨在描述我们对减肥手术后体重大量下降的患者进行腹部成形术的技术程序。
■总共，196名患者被包括在内。纳入所有在2018年5月至2021年5月期间接受经典腹壁成形术（A组）和保留并抬起Scarpa筋膜（B组）并进行脐带移位的腹壁成形术的患者。同时矫正腹疝的患者被排除在外。根据合并症和术后并发症分析人口统计学和手术数据。
■有160名（81.6%）女性。平均年龄为43.6岁；平均体重为86.7kg；平均BMI为28.6kg/m2。5例患者（2.5％）出现术后血清肿。四名患者（2％）出现部分裂开/皮肤坏死，其中一名需要翻修。最后,26例患者出现术后并发症，总体发病率为12.6%。术后平均住院时间为3.6。男性血清肿的发生率明显较高，BMI>30kg/m2，年龄>50岁的患者。
■在减肥患者的手术后手术中保留ScarpaFascia减少了血清肿的形成和瘢痕并发症，并减少了腹股沟-耻骨区域的张力，并在体重减轻后纠正了我们的变形。改善减少引流和减少血清肿发生率抽吸和住院时间。
■总共，196名患者被包括在内。纳入所有在2018年5月至2021年5月期间接受经典腹壁成形术（A组）和保留并抬起Scarpa筋膜（B组）并进行脐带移位的腹壁成形术的患者。同时矫正腹疝的患者被排除在外。根据合并症和术后并发症分析人口统计学和手术数据。
■有160名（81.6%）女性。平均年龄为43.6岁；平均体重为86.7kg；平均BMI为28.6kg/m2。5例患者（2.5％）出现术后血清肿。四名患者（2％）出现部分裂开/皮肤坏死，其中一名需要翻修。最后,26例患者出现术后并发症，总体发病率为12.6%。术后平均住院时间为3.6。男性血清肿的发生率明显较高，BMI>30kg/m2，年龄>50岁的患者。
■在减肥患者的手术后手术中保留ScarpaFascia减少了血清肿的形成和瘢痕并发症，并减少了腹股沟-耻骨区域的张力，并在体重减轻后纠正了我们的变形。改善减少引流和减少血清肿发生率抽吸和住院时间。
