Utrecht and Nieuwegein, The Netherlands From the Department of Plastic and Reconstructive Surgery, University Medical Center Utrecht; the Department of Clinical and Health Psychology, Utrecht University; and the Departments of Plastic and Reconstructive Surgery and Surgery, St. Antonius Hospital.
Plast Reconstr Surg. 2012 Nov;130(5):1133-1139. doi: 10.1097/PRS.0b013e318267d51d.
Bariatric surgery for morbid obesity results in massive weight loss and improvement of health and quality of life. A downside of the major weight loss is the excess of overstretched skin, which may influence the patient's quality of life by causing functional and aesthetic problems. The purpose of the current study was to evaluate the patient's quality of life long-term after body contouring following bariatric surgery.
Quality of life was measured with the Obesity Psychosocial State Questionnaire in 33 post-bariatric surgery patients 7.2 years (range, 3.2 to 13.3 years) after body contouring surgery. Data were compared with previous assessments 4.1 years (range, 0.7 to 9.2 years) after body contouring surgery of the quality of life at that time and before body contouring surgery.
Compared with appraisals of quality of life before body contouring surgery, a significant, mostly moderate to large, sustained improvement of quality of life was observed in post-bariatric surgery patients 7.2 years after body contouring surgery in six of the seven psychosocial domains. A small deterioration occurred between 4.1- and 7.2-year follow-up on two of the seven domains except for the domain efficacy toward eating, which showed a significant improvement. At 7-year follow-up, 18 patients (55 percent) were satisfied with the result of body contouring surgery.
This study indicates a sustained quality-of-life improvement in post-bariatric surgery patients after body contouring surgery. This suggests the importance of including reconstructive surgery as a component in the multidisciplinary approach in the surgical treatment of morbid obesity.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
病态肥胖的减重手术可导致体重大量减轻，并改善健康和生活质量。大量减重的一个缺点是过度伸展的皮肤过多，这可能会通过引起功能和美学问题影响患者的生活质量。本研究的目的是评估肥胖症整形手术后长期患者的生活质量。
使用肥胖心理社会状态问卷在 33 名肥胖症整形手术后患者中评估生活质量，这些患者在身体整形手术后 7.2 年（范围，3.2 至 13.3 年）。将这些数据与之前在身体整形手术后 4.1 年（范围，0.7 至 9.2 年）评估的生活质量进行比较，并与身体整形手术前进行比较。
与身体整形手术前评估的生活质量相比，在身体整形手术后 7.2 年，接受肥胖症整形手术的患者在七个心理社会领域中的六个领域中观察到生活质量的显著、主要是中等到大幅度、持续改善。除了进食效能领域外，七个领域中的两个领域在 4.1 年至 7.2 年的随访中出现了小的恶化，而进食效能领域则显示出显著改善。在 7 年的随访中，18 名患者（55％）对身体整形手术的结果感到满意。
本研究表明，肥胖症整形手术后患者的生活质量持续改善。这表明将重建手术作为病态肥胖症多学科治疗方法的一部分的重要性。
临床问题/证据水平：治疗性，IV。
