Nyakiongora Sarah, Laspro Matteo, Dele-Oni Oluchukwu, Abdullahi Adan A, Nangole Ferdinand W, Pusic Andrea L
From the Division of Plastic and Reconstructive Surgery, Kenyatta National Hospital, University of Nairobi, Nairobi, Kenya.
The Plastic Surgery Foundation, Arlington Heights, IL.
Plast Reconstr Surg Glob Open. 2025 Feb 12;13(2):e6539. doi: 10.1097/GOX.0000000000006539. eCollection 2025 Feb.
Massive weight loss can often lead to skin redundancy and affect a patient's quality of life. Abdominoplasty has grown in popularity due to its cosmetic and functional effects. There is currently a paucity in the patient-reported outcome measures literature in low-resource areas. As such, this study aimed to apply the BODY-Q measure to evaluate factors impacting abdominoplasty outcomes in Kenya.
Patients undergoing abdominoplasty were asked to complete BODY-Q scales before and after surgery. Patient demographics, medical history, and postoperative care were retrospectively collected from patient records. Inference statistics were used to assess predictors of improvement in postsurgical BODY-Q scores and seroma formation. Student tests were used to compare means; chi-square tests were used to assess differences between proportions, and was used to determine the proportion of variance.
Thirty-nine patients underwent abdominoplasty, of whom 38 answered both surveys. Mean age and body mass index (BMI) were 38.30 (±6.35) years and 30.80 (±6.35) kg/m, respectively. The difference in pre- and postoperative BODY-Q scores was -73.5, with an effect size of -6.67 and a minimal clinically important difference of -2.00. Positive predictors of BODY-Q score improvement were concurrent liposuction ( = 0.004), preoperative BMI ( = 0.001), and patient-rated scar quality ( = 0.003). Other factors were not significantly predictive.
Kenyan patients seem to be highly satisfied with abdominoplasty procedures, which result in significant improvements in quality of life. Factors significantly associated with higher satisfaction include concurrent liposuction, higher preoperative BMI, and postoperative scar quality.
大量体重减轻往往会导致皮肤松弛，影响患者的生活质量。腹壁成形术因其美容和功能效果而越来越受欢迎。目前，资源匮乏地区患者报告的结局指标文献较少。因此，本研究旨在应用BODY-Q量表评估影响肯尼亚腹壁成形术效果的因素。
接受腹壁成形术的患者被要求在手术前后完成BODY-Q量表。从患者记录中回顾性收集患者的人口统计学信息、病史和术后护理情况。使用推断统计来评估术后BODY-Q评分改善和血清肿形成的预测因素。采用学生t检验比较均值；卡方检验用于评估比例差异，并用于确定方差比例。
39例患者接受了腹壁成形术，其中38例完成了两项调查。平均年龄和体重指数（BMI）分别为38.30（±6.35）岁和30.80（±6.35）kg/m²。术前和术后BODY-Q评分的差异为-73.5，效应大小为-6.67，最小临床重要差异为-2.00。BODY-Q评分改善的积极预测因素是同时进行抽脂术（P = 0.004）、术前BMI（P = 0.001）和患者评定的瘢痕质量（P = 0.003）。其他因素无显著预测作用。
肯尼亚患者似乎对腹壁成形术非常满意，该手术可显著改善生活质量。与更高满意度显著相关的因素包括同时进行抽脂术、更高的术前BMI和术后瘢痕质量。
