Gahagnon T, Guerreschi P, Pattou F, Martinot-Duquennoy V
Service de chirurgie plastique, hôpital Roger-Salengro, Lille cedex, France.
Ann Chir Plast Esthet. 2011 Aug;56(4):298-307. doi: 10.1016/j.anplas.2011.05.001. Epub 2011 Jul 7.
Cutting the excess of skin body contouring surgery in post-massive weight loss patients seems to only improve functional and aesthetic disorders. But other benefits can be determinated such as psychosocial effects. The first two are usually evaluated. The last two are rarely researched. The goal of this study is to evaluate the benefits of body contouring surgery by comparing patient satisfaction on these different aspects.
One hundred thirty-four patients with more that 30 kg's weight loss had body contouring surgery at the university hospital in Lille between June 2004 and June 2008. Seventy-eight patients agreed to respond to a study on quality-of-life improvements after body contouring surgery which evaluated aesthetic, functional, and psychosocial aspects. The data were compared before and after the surgery to assess the benefits of the surgery in these areas.
All the aforementioned aspects were clearly improved with the body contouring surgery. However, the improvement in the physical aspects seems to be somehow disappointing, not living up to the patients expectations. Exactly 52.5 % of the patients wanted morphologic alteration, while the scars were well tolerated in 78.2 % of the cases. On the other hand, psychosocial discomfort was improved in ways not expected by the patients. Two new findings were remarkable: a decrease of 56.7 % in the sense of feeling depressed and an improvement in finding a job after body contouring surgery.
The psychosocial improvements represent the true benefits of body contouring surgery.
对于大量减重后的患者而言，进行身体塑形手术切除多余皮肤似乎仅能改善功能和美观方面的问题。但还能确定其他益处，比如心理社会效应。前两者通常会得到评估，而后两者则很少被研究。本研究的目的是通过比较患者在这些不同方面的满意度来评估身体塑形手术的益处。
2004年6月至2008年6月期间，134名体重减轻超过30千克的患者在里尔大学医院接受了身体塑形手术。78名患者同意参与一项关于身体塑形手术后生活质量改善情况的研究，该研究评估了美观、功能和心理社会方面。对手术前后的数据进行比较，以评估手术在这些方面的益处。
身体塑形手术使上述所有方面均得到明显改善。然而，身体方面的改善似乎有些令人失望，未达到患者的期望。确切地说，52.5%的患者希望进行形态改变，而78.2%的病例中瘢痕耐受性良好。另一方面，心理社会方面的不适以患者未预期的方式得到了改善。有两个新发现值得注意：身体塑形手术后抑郁感下降了56.7%，找工作情况有所改善。
心理社会方面的改善才是身体塑形手术的真正益处。
