- Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Divisão de Cirurgia Plástica - São Paulo - SP - Brasil.
Rev Col Bras Cir. 2021 Jul 19;48:e20202638. doi: 10.1590/0100-6991e-20202638. eCollection 2021.
bariatric surgery is the main treatment for cases of severe obesity and body contour surgery to correct body dysmorphia resulting from weight loss. However, these procedures are associated with a significant number of postoperative complications.
this study aims to analyze complications in post-bariatric patients undergoing body contour surgeries and correlating them with the age and BMI of these patients.
the current study is a retrospective study evaluating 180 consecutive patients undergoing body contour surgery after bariatric surgery within a period of three years (2014-2016). Data such as age, gender, Body Mass Index before bariatric and plastic surgeries, type of surgery performed and complications were collected, and correlated the age as well as the BMI of the patients in the pre-bariatric (PB) and pre-plastic (PP) periods with the complications presented.
of the 180 patients evaluated, 91.7% were females (n = 165), and the mean age was 46.3 ± 1.7 years. The most performed surgery was abdominoplasty (48.9%), followed by mammaplasty (21.1%). Some complications occurred in 26.1% of the patients with partial dehiscence (40.4%) and seroma (14.9%) being the most frequent. Patients who presented complications had a higher mean age (50.8 years) than those who presented with no complications, and major complications accounted for 2.7% of the sample.
a statistically significant number of surgeries progressed without complications and, when they occurred, there were minor complications in most of the sample. Complications were more frequent in older patients with some of them having a BMI over 30 Kg/m2.
减重手术是治疗重度肥胖症的主要方法，身体整形手术则用于纠正因体重减轻而导致的身体畸形。然而，这些手术都伴随着相当数量的术后并发症。
本研究旨在分析接受过减重手术的患者在进行身体整形手术后出现的并发症，并将其与患者的年龄和 BMI 相关联。
本研究为回顾性研究，共纳入 180 例行身体整形手术的连续减重手术后患者，研究时间为 3 年（2014 年至 2016 年）。收集了患者的年龄、性别、减重和整形术前的 BMI、手术类型和并发症等数据，并对患者减重前（PB）和整形前（PP）的年龄和 BMI 与出现的并发症进行了相关性分析。
在 180 例接受评估的患者中，91.7%为女性（n=165），平均年龄为 46.3±1.7 岁。最常进行的手术是腹部整形术（48.9%），其次是乳房整形术（21.1%）。26.1%的患者出现了部分切口裂开（40.4%）和血清肿（14.9%）等并发症。出现并发症的患者平均年龄（50.8 岁）高于无并发症的患者，严重并发症占样本的 2.7%。
大多数手术都顺利完成，没有并发症。当出现并发症时，大多数患者的并发症都比较轻微。年龄较大的患者并发症更为常见，其中一些患者的 BMI 超过 30 Kg/m2。
