- Hospital das Clínicas da Universidade de São Paulo (USP), Disciplina de Cirurgia Plástica - São Paulo - SP - Brasil.
Rev Col Bras Cir. 2023 Jul 28;50:e20233520. doi: 10.1590/0100-6991e-20233520-en. eCollection 2023.
obesity is one of the most common diseases worldwide, and the most effective treatment to it is the bariatric surgery. One of the negative impacts of this procedure is the body dysmorphia caused by overhanging skin. In Brazil, the national health system - Sistema Único de Sáude (SUS) - provide body contouring surgery to treat post-bariatric patients, since 2007. This article aims to describe the Brazilian public health approach to post bariatric patients and perform an analyze in the Brazilian health care database.
in Brazilian Health System database, a search for the post-bariatric procedures performed between 2007 to 2021 was done. The variables analyzed were geographic location, year, mean days of hospitalization, death, and mortality rate. Also, we evaluated the number of bariatric procedures done in the same period. Statistical analysis was performed using the Student-t and the chi-square tests and p-value <0.5 was considered significant.
a total of 12,717 plastic surgery procedures in post bariatric patients were done, with a national prevalence of 13.8%. Dermolipectomy was the most performed procedure, with 6,719. The years of 2020 and 2021 suffered a decreased of 64.3% and 70.9% in the number of surgeries (p<0,001). Bariatric Procedures had a high rate and a higher percentage of growth comparing to post bariatric surgery (p<0,001), totalizing 93,589 surgeries.
Brazil had a significant number of body contouring surgery, however with a low prevalence. Dermoliepctomy was the most common procedure performed. We could notice a significant impact of COVID pandemic in those procedures .
肥胖是全球最常见的疾病之一，而最有效的治疗方法是减重手术。这种手术的一个负面影响是皮肤悬垂引起的身体畸形。在巴西，国家卫生系统——统一卫生系统（SUS）——自 2007 年起为治疗肥胖症后患者提供身体塑形手术。本文旨在描述巴西公共卫生部门对肥胖症后患者的处理方法，并对巴西卫生保健数据库进行分析。
在巴西卫生系统数据库中，对 2007 年至 2021 年期间进行的肥胖症后手术进行了搜索。分析的变量包括地理位置、年份、平均住院天数、死亡和死亡率。此外，我们还评估了同期进行的肥胖症手术数量。使用学生 t 检验和卡方检验进行统计分析，p 值<0.05 被认为具有统计学意义。
共进行了 12717 例肥胖症后整形手术，全国患病率为 13.8%。皮肤切除术是最常进行的手术，有 6719 例。2020 年和 2021 年的手术数量分别减少了 64.3%和 70.9%（p<0.001）。与肥胖症后手术相比，肥胖症手术的比例和增长率都很高（p<0.001），共进行了 93589 例手术。
巴西进行了大量的身体塑形手术，但患病率较低。皮肤切除术是最常见的手术。我们可以注意到 COVID 大流行对这些手术产生了重大影响。
