Pittsburgh, Pa. From the Department of Plastic Surgery, University of Pittsburgh School of Medicine.
Plast Reconstr Surg. 2012 Dec;130(6):1361-1369. doi: 10.1097/PRS.0b013e318273e5f5.
Patients presenting for plastic surgery consultation after massive weight loss require a thorough preoperative evaluation that takes into account the complex medical and psychosocial issues associated with obesity. A number of factors must be considered, including type of weight loss procedure, nutritional deficiencies, body mass index at the time of consultation, and unresolved cardiovascular and pulmonary problems. This assessment will help identify issues requiring more detailed evaluation, provide an accurate risk profile, allow for optimization of active disease states before surgery, and increase patient safety.
接受过大量减重手术后寻求整形手术咨询的患者需要进行全面的术前评估，其中要考虑与肥胖相关的复杂医学和心理社会问题。必须考虑多种因素，包括减重手术类型、营养缺乏、咨询时的体重指数以及未解决的心血管和肺部问题。这种评估有助于确定需要更详细评估的问题，提供准确的风险概况，在手术前优化活跃疾病状态，并提高患者安全性。
