Bocchiotti Maria A, Ruka Erind, Spaziante Luca, Morozzo Umberto, Baglioni Elisabetta A, Bruschi Stefano
a Department of Reconstructive and Aesthetic Plastic Surgery , Citta della Salute e della Scienza Hospital University of Turin , Turin , Italy.
J Plast Surg Hand Surg. 2018 Oct;52(5):282-287. doi: 10.1080/2000656X.2018.1476363. Epub 2018 Jun 29.
Upper extremity body reshaping is a very frequent surgical procedure in massive weight loss patients. Many surgeons have presented different patterns of brachioplasty skin excision and a variety of adjunctive techniques, each of them claiming improvements in scar aesthetic, arm shape or overall safety of the procedure. In this pape,r we want to illustrate our personal brachioplasty technique for massive weight loss patients. Our incision design named 'J' Brachioplasty is described. Between March 2013 and March 2016, a retrospective study of patients with massive weight loss and clinical diagnosis of brachial ptosis undergoing surgical reconstruction with 'J' brachioplasty was performed. All patients were treated according to a standard surgical procedure described in detail in the paper. The presence of axillary and thoracic skin excess was also recorded for every subject, as well as clinical and surgical postoperative complications. A total number of 73 Caucasian underwent J-shaped brachioplasty. Our technique allowed us to treat both arm and thoracic skin excess with a single skin incision. Among our casuistic we had only two cases of postoperative bleeding and four cases of partial wound dehiscence due to tension. Seroma was reported only in one (female) patient. Despite the recent introduction our technique has proven to reach good results in massive weight loss patients.
上肢塑形手术在大量减重患者中是一种非常常见的外科手术。许多外科医生提出了不同的手臂整形皮肤切除模式和各种辅助技术，他们每个人都声称这些技术在疤痕美观、手臂形状或手术的整体安全性方面有所改进。在本文中，我们想阐述我们针对大量减重患者的个人手臂整形技术。我们描述了名为“J”形手臂整形术的切口设计。在2013年3月至2016年3月期间，对大量减重且临床诊断为臂部皮肤松弛并接受“J”形手臂整形术进行手术重建的患者进行了一项回顾性研究。所有患者均按照本文详细描述的标准手术程序进行治疗。还记录了每个受试者腋窝和胸部皮肤多余的情况，以及临床和手术术后并发症。共有73名白种人接受了J形手臂整形术。我们的技术使我们能够通过单一皮肤切口治疗手臂和胸部的皮肤多余问题。在我们的病例中，只有两例术后出血，四例因张力导致部分伤口裂开。仅一名（女性）患者出现了血清肿。尽管我们的技术是最近才引入的，但已证明在大量减重患者中能取得良好效果。
