Wan Makhtar Wan Ratmaazila, Mohamad Shah Nurul Syazana, Rusli Siti Muyassarah, Mat Saad Arman Zaharil, Wan Sulaiman Wan Azman
Reconstructive Sciences Unit, Universiti Sains Malaysia School of Medical Sciences, Kubang Kerian, MYS.
Plastic and Reconstructive Surgery Unit, Hospital Canselor Tuanku Muhriz Universiti Kebangsaan Malaysia (UKM), Cheras, MYS.
Cureus. 2022 Apr 9;14(4):e23996. doi: 10.7759/cureus.23996. eCollection 2022 Apr.
Background and aims Weight loss associated with abdominoplasty remains controversial as to whether it is contributed by the procedure alone, or if there are other patient factors. Therefore, we evaluated the relationship between weight loss in pre- and post-abdominoplasty and compared the weight loss of those who do not undergo abdominoplasty in bariatric and non-bariatric patients. Methods This study measured weight changes at designated time points in four different groups comprising 98 patients. The groups were abdominoplasty after bariatric surgery (group A), patients with abdominoplasty alone (B), bariatric surgery alone (group C), and diet alone (group D). Results are compared within and between the groups. Results Patients in groups A and B (patients who had abdominoplasty regardless with or without bariatric surgery) had a significant weight loss after six months (mean difference=10.70kg, 95% CI=4.05, 17.34, p<0.001) compared to pre abdominoplasty weight. Patients in group B were statistically significant (mean difference=4.01kg, 95% CI=0.92, 7.10, p=0.007) with 3.60kg weight reduction (4.59%). Patients in group A had clinically significant weight reduction (4.45kg, 5.14%) but it was not statistically significant (p>0.05) and had no significant additional weight reduction as compared to non-abdominoplasty (group C) patients (p=0.650). Patients in group C had a statistically significant difference from those in group D (F [1.00, 48.00] = 8.56, p=0.005) with an average weight loss of 3.60kg (4.59%) vs 2.56kg (2.8%) respectively. Conclusions All patients with abdominoplasty had significant weight loss after six months. Bariatric patients did not experience significant additional weight loss with abdominoplasty. Weight reduction after abdominoplasty alone was greater than diet alone.
腹部整形术后体重减轻是单纯由手术导致，还是存在其他患者因素，目前仍存在争议。因此，我们评估了腹部整形术前和术后体重减轻之间的关系，并比较了肥胖和非肥胖患者中未接受腹部整形术者的体重减轻情况。方法：本研究测量了98例患者组成的四个不同组在指定时间点的体重变化。这些组分别为减肥手术后行腹部整形术（A组）、单纯行腹部整形术的患者（B组）、单纯行减肥手术（C组）和单纯节食（D组）。对组内和组间的结果进行比较。结果：与腹部整形术前体重相比，A组和B组（无论是否行减肥手术而接受腹部整形术的患者）在六个月后体重显著减轻（平均差异=10.70kg，95%CI=4.05，17.34，p<0.001）。B组患者体重减轻具有统计学意义（平均差异=4.01kg，95%CI=0.92，7.10，p=0.007），体重减轻3.60kg（4.59%）。A组患者体重有临床显著减轻（4.45kg，5.14%），但无统计学意义（p>0.05），与未行腹部整形术（C组）患者相比，无显著额外体重减轻（p=0.650）。C组患者与D组患者有统计学显著差异（F[1.00,48.00]=8.56，p=0.005），平均体重减轻分别为3.60kg（4.59%）和2.56kg（2.8%）。结论：所有接受腹部整形术的患者在六个月后体重均显著减轻。肥胖患者行腹部整形术后未出现显著额外体重减轻。单纯腹部整形术后的体重减轻大于单纯节食。
