Post-bariatric body contouring surgery: analysis of complications in 180 consecutive patients

ABSTRACT Introduction: 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. Objective: 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. Methods: 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. Results: 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. Conclusions: 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.

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Main Authors: CINTRA JUNIOR,WILSON, MODOLIN,MIGUEL LUIZ ANTONIO, COLFERAI,DIEGO RICARDO, ROCHA,RODRIGO ITOCAZO, GEMPERLI,ROLF
Format: Digital revista
Language:English
Published: Colégio Brasileiro de Cirurgiões 2021
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100223
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spelling oai:scielo:S0100-699120210001002232021-07-15Post-bariatric body contouring surgery: analysis of complications in 180 consecutive patientsCINTRA JUNIOR,WILSONMODOLIN,MIGUEL LUIZ ANTONIOCOLFERAI,DIEGO RICARDOROCHA,RODRIGO ITOCAZOGEMPERLI,ROLF Obesity, Morbid Bariatric Surgery Body Contouring/adverse effects Postoperative Complications/surgery ABSTRACT Introduction: 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. Objective: 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. Methods: 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. Results: 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. Conclusions: 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.info:eu-repo/semantics/openAccessColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões v.48 20212021-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100223en10.1590/0100-6991e-20202638
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author CINTRA JUNIOR,WILSON
MODOLIN,MIGUEL LUIZ ANTONIO
COLFERAI,DIEGO RICARDO
ROCHA,RODRIGO ITOCAZO
GEMPERLI,ROLF
spellingShingle CINTRA JUNIOR,WILSON
MODOLIN,MIGUEL LUIZ ANTONIO
COLFERAI,DIEGO RICARDO
ROCHA,RODRIGO ITOCAZO
GEMPERLI,ROLF
Post-bariatric body contouring surgery: analysis of complications in 180 consecutive patients
author_facet CINTRA JUNIOR,WILSON
MODOLIN,MIGUEL LUIZ ANTONIO
COLFERAI,DIEGO RICARDO
ROCHA,RODRIGO ITOCAZO
GEMPERLI,ROLF
author_sort CINTRA JUNIOR,WILSON
title Post-bariatric body contouring surgery: analysis of complications in 180 consecutive patients
title_short Post-bariatric body contouring surgery: analysis of complications in 180 consecutive patients
title_full Post-bariatric body contouring surgery: analysis of complications in 180 consecutive patients
title_fullStr Post-bariatric body contouring surgery: analysis of complications in 180 consecutive patients
title_full_unstemmed Post-bariatric body contouring surgery: analysis of complications in 180 consecutive patients
title_sort post-bariatric body contouring surgery: analysis of complications in 180 consecutive patients
description ABSTRACT Introduction: 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. Objective: 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. Methods: 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. Results: 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. Conclusions: 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.
publisher Colégio Brasileiro de Cirurgiões
publishDate 2021
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100223
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