Circumferential Abdominoplasty after Massive Weight Loss Following Bariatric Surgery

Document Type : Original Article

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Department of General Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Abstract

Background: Following a massive loss of weight of obese patients, the excess skin folds and body contour is disturbed so, abdominoplasty is recommended to restore the normal body contour and shape.
Aim of the Work: This study aimed to evaluate circumferential abdominoplasty with regard to the outcome and complications.
Patients and Methods: This prospective cohort study was conducted on 30 patients aged >18 years old, both sexes who had a relative stable body weight for at least 12 months after the bariatric surgery recommended for circular abdominoplasty. All steps of surgical procedures were explained to the participants. Patients were followed up for presence of complications and satisfaction rate were done at 2 weeks, 6 weeks, 3 months and 6 months.
Results: The mean age was 39.2 ± 10.2 and the majority were females 21 [70%]. The mean resected weight from abdomen during abdominoplasty among the studied patients was 4.3 ± 0.7 Kg. The intraoperative time was 265 ± 21 minutes while the blood loss was 426.9 ± 195.7 ml. The mean satisfaction rate among patients towards the abdomen during abdominoplasty was 94.5 ± 4.5. The mean hospital length of stay was 4.7±1 day. The most prevalent post abdominoplasty complication was wound dehiscence 2 [6.7%] then seroma 2 [6.7%], hypertrophic scar 1 [3.3%] and local hypoesthesia 2 [6.7%]. there was a significant association between the occurrence of complications and lower satisfaction, longer duration of hospital stay and older age of participants.
Conclusion: Circumferential abdominoplasty provides a higher satisfaction rate from patients with minimal rates of complications. Therefore, this procedure could be safely applied to patients with massive loss of weight.

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