Pajula Susanna, Gissler Mika, Jyränki Janne, Tukiainen Erkki, Koljonen Virve
Department of Plastic and General Surgery, Turku University Hospital, Turku, Finland.
Department of Plastic Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
J Plast Surg Hand Surg. 2022 Dec;56(6):335-341. doi: 10.1080/2000656X.2020.1800481. Epub 2020 Aug 10.
Massive weight loss might lead to excess skin folds causing functional, physical, and psychosocial discomfort. Following bariatric procedures, an increasing number of patients are seeking lower body contouring surgery (LBCS). The proportion of bariatric patients who undergo LBCS is largely unknown. The aim of this current study was to analyse the incidence and realization of LBCS in bariatric patients in Finland.National retrospective register linkage study including all adult patients who received bariatric surgery in Finland during 1998-2016. The data were obtained from the Finnish national health registers maintained by the Finnish Institute for Health and Welfare. Altogether 1089 (14.1%) of 7703 bariatric patients underwent LBCS during the study period. The majority of the LBCS procedures were abdominoplasty (89%). Median latency between bariatric surgery and LBCS was 31 months. The patients with LBCS were younger ( < 0.001) and received sleeve gastrectomy ( < 0.001). We revealed an annual correlation between LBCS and bariatric procedures ( = 0.683). With a two-year latency between the bariatric and post-bariatric operations, the correlation co-efficiency was strong ( = 0.927). LBCS operations ranged from 5 to 215 per hospital district. Most LBCSs (97.3%) were performed in public hospitals, and some (41%) were performed in university hospitals. This study shows that only 14.1% of bariatric patients undergo LBCS. There is a correlation between bariatric procedures and succeeding plastic surgical reconstructive procedures.
大量体重减轻可能导致皮肤褶皱过多，从而引起功能、身体和心理社会方面的不适。在接受减肥手术后，越来越多的患者寻求下半身塑形手术（LBCS）。接受LBCS的减肥患者比例在很大程度上尚不清楚。本研究的目的是分析芬兰减肥患者中LBCS的发生率和实施情况。
全国性回顾性登记关联研究，纳入了1998年至2016年期间在芬兰接受减肥手术的所有成年患者。数据来自芬兰健康与福利研究所维护的芬兰国家健康登记册。在研究期间，7703名减肥患者中有1089名（14.1%）接受了LBCS。大多数LBCS手术是腹部整形术（89%）。减肥手术与LBCS之间的中位间隔时间为31个月。接受LBCS的患者更年轻（<0.001）且接受了袖状胃切除术（<0.001）。我们发现LBCS与减肥手术之间存在年度相关性（=0.683）。在减肥手术与减肥后手术之间有两年间隔时，相关系数很强（=0.927）。每个医院区的LBCS手术数量从5例到215例不等。大多数LBCS手术（97.3%）在公立医院进行，一些（41%）在大学医院进行。这项研究表明，只有14.1%的减肥患者接受LBCS。减肥手术与后续的整形重建手术之间存在相关性。
