Tang Lawton, Song Angela Y, Choi SuJean, Fernstrom Madelyn, Rubin J Peter
Division of Plastic Surgery, Department of Surgery, University of Pittsburgh, Pittsburgh, PA 15238, USA.
Ann Plast Surg. 2007 Jan;58(1):54-6. doi: 10.1097/01.sap.0000250752.42524.2f.
Postbariatric body contouring is an expanding and rapidly evolving specialty within plastic surgery. To best address the many clinical issues related to the safe and effective care of the postbariatric patient, the authors have established a dedicated multidisciplinary treatment center. Team building efforts have brought together attending plastic surgeons who specialize in body contouring, nurses focused on body contouring after weight loss, and an administrative staff well trained in the issues related to managing these specific types of cases. Through core partnerships, nutritionists, lifestyle counselors, and psychologic professionals are present in the clinic to evaluate patients alongside the plastic surgeon. A dedicated physician assistant and body-contouring fellow work in both the clinic and the operating room (OR). This team approach has allowed for the establishment of defined screening procedures and patient care algorithms. Outreach and patient education initiatives have allowed the center to forge strong alliances with the regional bariatric surgeons and make patients aware of the role of plastic surgery as they start the process of weight loss. A strong research mission is demonstrated by an IRB-approved clinical registry and database that facilitate outcomes studies.
减肥后身体塑形是整形外科中一个不断发展且迅速演变的专业领域。为了更好地解决与减肥后患者的安全有效护理相关的诸多临床问题，作者们设立了一个专门的多学科治疗中心。团队建设工作汇聚了专注于身体塑形的整形外科主治医生、关注减肥后身体塑形的护士以及在管理这些特定类型病例相关问题方面训练有素的行政人员。通过核心合作伙伴关系，营养师、生活方式顾问和心理专业人员也在诊所中与整形外科医生一同对患者进行评估。一名专职医师助理和一名身体塑形研究员在诊所和手术室工作。这种团队协作方式促成了明确的筛查程序和患者护理算法的建立。外展和患者教育举措使该中心能够与当地的减肥外科医生建立紧密联盟，并让患者在开始减肥过程时就了解整形外科的作用。一个经机构审查委员会批准的临床登记处和数据库推动了疗效研究，彰显了强大的研究使命。
