Fuente del Campo A, Rojas Allegretti E, Fernandez Filho J A, Gordon C B
Department of Plastic and Craniofacial Surgery, Universidad Nacional Autonoma de Mexico, Hospital Infantil de Mexico, Mexico D.F., Mexico.
World J Surg. 1998 Sep;22(9):974-80. doi: 10.1007/s002689900502.
Dermolipectomy is the most important procedure for treatment of the deformities engendered by massive weight loss. It remains the only treatment for excising redundant skin. Although liposuction is useful for removing fatty deposits without traditional surgical incisions, its application is limited by the ability of the skin to contract and conform to the newly sculpted figure. Thus liposuction may serve as an adjunct when treating the sequelae of weight loss but not as a primary procedure. In response to changing expectations, reconstructive surgeons have developed increasingly ingenious and specific dermolipectomy procedures to minimize or hide scars, lessen morbidity, and enhance function. Liposuction in combination with dermolipectomy has expanded the applicability of traditional procedures to a wider variety of patients. Surgical history, patient selection, surgical planning, a spectrum of regional dermolipectomy procedures, and potential complications are discussed herein.
皮肤切除术是治疗因大量体重减轻而产生的畸形的最重要手术。它仍然是切除多余皮肤的唯一治疗方法。虽然抽脂术对于在不进行传统手术切口的情况下去除脂肪沉积很有用，但其应用受到皮肤收缩并贴合新塑形身体轮廓能力的限制。因此，抽脂术在治疗体重减轻后遗症时可作为辅助手段，但不能作为主要手术。为了满足不断变化的期望，整形外科医生开发了越来越巧妙和特定的皮肤切除手术，以尽量减少或隐藏疤痕、降低发病率并增强功能。抽脂术与皮肤切除术相结合，将传统手术的适用性扩大到了更广泛的患者群体。本文讨论了手术史、患者选择、手术规划、一系列区域皮肤切除手术以及潜在并发症。
