PDF(Pubmed)
Abstract：
BACKGROUND: Abdominoplasty is a critical aesthetic and functional procedure for individuals who have undergone massive weight loss. Numerous techniques have been proposed to optimize aesthetic results while minimizing complications.
METHODS: This prospective study examined 500 patients who underwent abdominoplasty during body-contouring procedures between 1 January 2018 and 31 December 2021 at a tertiary center. The Skin-Adipose Tissue-Muscle (SAM) protocol was employed to analyze the operative strategies and complication rates and compare them with the existing literature. Furthermore, patient satisfaction and aesthetic outcomes were measured one year post-operation using a comprehensive four-point questionnaire evaluated by the patients themselves and two independent surgeons.
RESULTS: Participants had an average age of 34.8 years and a mean BMI of 31.1 kg/m2. The surgeries included 328 full abdominoplasties and 172 T-inverted abdominoplasties. Notable complications included wound infection (4%), wound dehiscence (8.6%), tissue necrosis (0.6%), seroma (8.4%), and hematoma (2.6%). A higher BMI was correlated with an increased risk of complications and lower patient satisfaction. Data analysis was performed using Stata version 18 software.
CONCLUSIONS: The increasing prevalence of obesity highlights an urgent need for more bariatric surgeries and subsequent abdominoplasties to mitigate the effects of massive weight loss. A crucial link between elevated BMI and a heightened risk of postoperative complications, emphasizing the necessity for standardized surgical protocols tailored to individuals with higher BMI, was noted. Innovatively, future studies must further investigate the intricate dynamics between BMI and surgical risks. Exploring and establishing uniform, adaptive surgical guidelines promise to revolutionize patient care by significantly reducing complications and enhancing recovery and satisfaction following abdominoplasty.
METHODS: This prospective study examined 500 patients who underwent abdominoplasty during body-contouring procedures between 1 January 2018 and 31 December 2021 at a tertiary center. The Skin-Adipose Tissue-Muscle (SAM) protocol was employed to analyze the operative strategies and complication rates and compare them with the existing literature. Furthermore, patient satisfaction and aesthetic outcomes were measured one year post-operation using a comprehensive four-point questionnaire evaluated by the patients themselves and two independent surgeons.
RESULTS: Participants had an average age of 34.8 years and a mean BMI of 31.1 kg/m2. The surgeries included 328 full abdominoplasties and 172 T-inverted abdominoplasties. Notable complications included wound infection (4%), wound dehiscence (8.6%), tissue necrosis (0.6%), seroma (8.4%), and hematoma (2.6%). A higher BMI was correlated with an increased risk of complications and lower patient satisfaction. Data analysis was performed using Stata version 18 software.
CONCLUSIONS: The increasing prevalence of obesity highlights an urgent need for more bariatric surgeries and subsequent abdominoplasties to mitigate the effects of massive weight loss. A crucial link between elevated BMI and a heightened risk of postoperative complications, emphasizing the necessity for standardized surgical protocols tailored to individuals with higher BMI, was noted. Innovatively, future studies must further investigate the intricate dynamics between BMI and surgical risks. Exploring and establishing uniform, adaptive surgical guidelines promise to revolutionize patient care by significantly reducing complications and enhancing recovery and satisfaction following abdominoplasty.
摘要：
背景：对于经历了大量体重减轻的个体来说，腹部成形术是一种关键的美学和功能程序。已经提出了许多技术来优化美学结果,同时最小化并发症。
方法：这项前瞻性研究检查了2018年1月1日至2021年12月31日在三级中心进行身体轮廓术期间接受腹部成形术的500例患者。采用皮肤-脂肪组织-肌肉（SAM）方案分析手术策略和并发症发生率，并与现有文献进行比较。此外，患者满意度和美学结果在术后1年使用由患者本人和两名独立外科医生评估的4分综合问卷进行测量.
结果：参与者的平均年龄为34.8岁，平均BMI为31.1kg/m2。手术包括328次全腹成形术和172次T型腹肌成形术。值得注意的并发症包括伤口感染（4%），伤口裂开(8.6%),组织坏死（0.6%），血清肿（8.4%），和血肿(2.6%)。较高的BMI与并发症风险增加和患者满意度降低相关。使用Stata版本18软件进行数据分析。
结论：肥胖患病率的增加凸显了对更多减肥手术和随后的腹部成形术的迫切需要，以减轻大量体重减轻的影响。BMI升高与术后并发症风险增加之间的关键联系，强调为BMI较高的个体量身定制标准化手术方案的必要性，已注意到。创新,未来的研究必须进一步研究BMI与手术风险之间的复杂动态关系.探索和建立制服，适应性手术指南有望通过显着减少并发症并提高腹部成形术后的康复和满意度来彻底改变患者护理。
方法：这项前瞻性研究检查了2018年1月1日至2021年12月31日在三级中心进行身体轮廓术期间接受腹部成形术的500例患者。采用皮肤-脂肪组织-肌肉（SAM）方案分析手术策略和并发症发生率，并与现有文献进行比较。此外，患者满意度和美学结果在术后1年使用由患者本人和两名独立外科医生评估的4分综合问卷进行测量.
结果：参与者的平均年龄为34.8岁，平均BMI为31.1kg/m2。手术包括328次全腹成形术和172次T型腹肌成形术。值得注意的并发症包括伤口感染（4%），伤口裂开(8.6%),组织坏死（0.6%），血清肿（8.4%），和血肿(2.6%)。较高的BMI与并发症风险增加和患者满意度降低相关。使用Stata版本18软件进行数据分析。
结论：肥胖患病率的增加凸显了对更多减肥手术和随后的腹部成形术的迫切需要，以减轻大量体重减轻的影响。BMI升高与术后并发症风险增加之间的关键联系，强调为BMI较高的个体量身定制标准化手术方案的必要性，已注意到。创新,未来的研究必须进一步研究BMI与手术风险之间的复杂动态关系.探索和建立制服，适应性手术指南有望通过显着减少并发症并提高腹部成形术后的康复和满意度来彻底改变患者护理。
