Rosa Simone Corrêa, Macedo Jefferson Lessa Soares DE, Casulari Luiz Augusto, Canedo Lucas Ribeiro, Marques João Vitor Almeida
Asa Norte Regional Hospital, Brasília, DF, Brazil.
FEPECS, University of Brasília, Brasília, DF, Brazil.
Rev Col Bras Cir. 2018;45(2):e1613. doi: 10.1590/0100-6991e-20181613. Epub 2018 Apr 16.
to evaluate the profile of patients submitted to post-bariatric plastic surgery at the North Wing Regional Hospital, Brasília, DF.
we conducted a prospective, descriptive and analytical study of patients submitted to Roux-en-Y gastroplasty, and subsequently to plastic surgery, from January 2011 to December 2016. We assessed body mass index before gastroplasty and after surgery plastic surgery, postoperative complications and comorbidities.
we studied 139 patients (130 women and nine men), with a mean age of 41 years, who underwent 233 operations. The mean BMI at the time of plastic surgery was 27.44kg/m2. The mean weight loss was 47.02kg and the mean maximum BMI was 45.17kg/m2. The mean time between bariatric surgery and plastic surgery was 42 months. The most important co-morbidities before plastic surgery were arterial hypertension (11.5%), arthropathy (5.4%), diabetes mellitus (5%) and metabolic syndrome (4.3%) (p<0.01). Of the 139 patients operated on, 76.97% underwent abdominoplasty followed by mammoplasty (42.46%), rhytidoplasty (17.27%) and brachioplasty (13.67%). Fourteen (13.08%) patients underwent herniorrhaphy combined with abdominoplasty. We performed anchor abdominoplasty in 19.42%. The rate of postoperative complications was 26.65%.
the epidemiological profile of post-bariatric patients who underwent plastic surgery was similar to that reported in the literature, except for the low rate of associated surgeries and postoperative complications. Plastic surgery in post-bariatric patients has led to an improvement in the quality of life in most of these patients.
评估在巴西利亚联邦区北翼地区医院接受减重后整形手术患者的情况。
我们对2011年1月至2016年12月期间接受 Roux-en-Y 胃成形术并随后接受整形手术的患者进行了一项前瞻性、描述性和分析性研究。我们评估了胃成形术前和整形手术后的体重指数、术后并发症和合并症。
我们研究了139例患者（130名女性和9名男性），平均年龄41岁，共进行了233次手术。整形手术时的平均体重指数为27.44kg/m²。平均体重减轻47.02kg，平均最大体重指数为45.17kg/m²。减重手术和整形手术之间的平均时间为42个月。整形手术前最重要的合并症是动脉高血压（11.5%）、关节病（5.4%）、糖尿病（5%）和代谢综合征（4.3%）（p<0.01）。在139例接受手术的患者中，76.97%接受了腹部整形术，其次是乳房整形术（42.46%）、除皱术（17.27%）和上臂整形术（13.67%）。14例（13.08%）患者接受了疝修补术联合腹部整形术。我们进行锚定腹部整形术的比例为19.42%。术后并发症发生率为26.65%。
接受整形手术的减重后患者的流行病学情况与文献报道相似，但相关手术和术后并发症发生率较低。减重后患者的整形手术使大多数患者的生活质量得到了改善。
