Lanthaler Monika, Mattesich Monika, Nehoda Hermann, Puelzl Petra, Matiasek Johannes, Nitto Agnese, Pierer Gerhard, Kinzl Johann
Department of Plastic and Reconstructive Surgery, Innsbruck Medical University, Innsbruck, Austria.
Am Surg. 2015 Jan;81(1):34-40.
Following my prior study of long-term results after laparoscopic gastric banding concerning operative outcome and complications involving the gastric band itself, I now focus on long-term quality-of-life improvement in the same study group after body-contouring surgery. As determined from our electronic patient data system, 72 patients from the former study group subsequently sought body-contouring surgery at our hospital after successful weight loss. Patients were enrolled in a telephone interview and asked about their expectations and body image before and after postbariatric aesthetic surgery and how it altered their well-being in addition to the weight loss achieved with the gastric band. All patients undergoing postbariatric aesthetic surgery felt extremely uneasy with the hanging skin resulting from weight reduction. Patients cannot imagine the degree of dissatisfaction they will experience from the sagging skin that comes with weight loss. Hardly any patient expected fewer scars than he ultimately had after body-contouring surgery and reported an extreme improvement in body image. Gastric banding should not be performed without informing patients about the need for postbariatric body-contouring surgery, because most patients not forewarned suffer greatly from their body image after weight loss.
在我之前关于腹腔镜胃束带术术后长期结果的研究中，涉及手术结果以及与胃束带本身相关的并发症，现在我将重点关注同一研究组在进行身体塑形手术后长期生活质量的改善情况。根据我们的电子患者数据系统，前研究组中的72名患者在成功减重后，随后在我院寻求身体塑形手术。患者参与了电话访谈，被问及他们在减肥后美容手术前后的期望和身体形象，以及这除了胃束带实现的减重之外如何改变了他们的幸福感。所有接受减肥后美容手术的患者都对因体重减轻导致的皮肤松弛感到极度不安。患者无法想象他们会因减肥带来的皮肤松弛而产生多大程度的不满。几乎没有患者预期到身体塑形手术后的疤痕会比实际的少，并且都表示身体形象有了极大改善。在未告知患者减肥后身体塑形手术必要性的情况下，不应进行胃束带术，因为大多数未得到预先警告的患者在减肥后会因身体形象问题而备受折磨。
