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Zelenchenkova P.I.

Sechenov First Moscow State Medical University (Sechenov University)

Manturova N.E.

Pirogov Russian National Research Medical University;
Institute of Plastic Surgery and Cosmetology

Del Pino Roxo C.

Andarai Federal Hospital

Bordan N.S.

JSC Institute of Plastic and Cosmetic Surgery;
Pirogov Russian National Research Medical University

Yashkov Yu.I.

Center for Endosurgery and Lithotripsy

Orlova A.S.

Sechenov First Moscow State Medical Univesity

Avala M.

Institute of Plastic Surgery and Cosmetology

Plastic surgery after massive weight loss following biliopancreatic diversion

Authors:

Zelenchenkova P.I., Manturova N.E., Del Pino Roxo C., Bordan N.S., Yashkov Yu.I., Orlova A.S., Avala M.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2022;(3): 51‑60

DOI: 10.17116/plast.hirurgia202203151

Read: 3629 times

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Table of contents

PLASTIC SURGERY AFTER MASSIVE WEIGHT LOSS FOLLOWING BILIOPANCREATIC DIVERSION
PLASTIC SURGERY AFTER MASSIVE WEIGHT LOSS FOLLOWING BILIOPANCREATIC DIVERSION

To cite this article:

Zelenchenkova PI, Manturova NE, Del Pino Roxo C, Bordan NS, Yashkov YuI, Orlova AS, Avala M. Plastic surgery after massive weight loss following biliopancreatic diversion. Plastic Surgery and Aesthetic Medicine. 2022;(3):51‑60. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202203151

Подписка 2026 Пластическая хирургия и эстетическая медицина (Plastic Surgery and Aesthetic Medicine)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To develop patient selection criteria and requirements for surgery, to evaluate the results of plastic surgeries in patients after massive weight loss following pylorus-preserving modifications of biliopancreatic diversion (BPD).

MATERIAL AND METHODS

The study included 65 patients who underwent BPD surgery in SADI (n=34) and Hess-Marceau (BPD-DS; n=31) modifications and subsequent post-bariatric plastic surgeries (PBPS). Patient satisfaction with postoperative aesthetic and functional results was assessed using the Likert scale.

RESULTS

PBPS in the SADI group was performed in 27.4±13.6 months after BPD, in the BPD-DS group — after 27.9±14.9 months. Combined plastic surgeries with gastrointestinal tract reconstruction were carried out in 10 (29.4%) and 6 (19.4%) patients, respectively. Combined surgeries were performed in 28 (82.4%) and 23 (74.2%) patients in SADI and BPD-DS groups, respectively. Complication rate was 26.5% and 45.2%, respectively. Most of events didn’t require hospital-stay and regressed within 1—2 months under conservative treatment. For most patients, maximum scores in assessing the contour, location of postoperative scars, and aesthetics of umbilicus were obtained.

CONCLUSION

PBPS is an integral part of treatment in patients with morbid obesity. These procedures are often performed as a part of combined surgery. They can be successfully used in combination with reconstructive bariatric surgeries without increase of postoperative complication rate. Patient satisfaction with PBPS outcomes reaches 100%.

Keywords:

abdominoplasty
brachioplasty
hernia repair
mammoplasty
lower body lifting
combined plastic surgeries
biliopancreatic diversion

Authors:

Zelenchenkova P.I.

Sechenov First Moscow State Medical University (Sechenov University)

Manturova N.E.

Pirogov Russian National Research Medical University;
Institute of Plastic Surgery and Cosmetology

Del Pino Roxo C.

Andarai Federal Hospital

Bordan N.S.

JSC Institute of Plastic and Cosmetic Surgery;
Pirogov Russian National Research Medical University

Yashkov Yu.I.

Center for Endosurgery and Lithotripsy

Orlova A.S.

Sechenov First Moscow State Medical Univesity

Avala M.

Institute of Plastic Surgery and Cosmetology

Received:

17.05.2022

Accepted:

30.05.2022

Close metadata

References:

  1. Balanova YuA, Shalnova SA, Deev AD, et al. Obesity in russian population — prevalence and association with the non-communicable diseases risk factors. Rossijskij kardiologicheskij zhurnal. 2018;23(6):123-130.  https://doi.org/10.15829/1560-4071-2018-6-123-130
  2. Tsai AG, Bessesen DH. Obesity. Ann Intern Med. 2019;170(5):ITC33-ITC48. https://doi.org/10.7326/AITC201903050
  3. Sjöström L. Review of the key results from the Swedish obese subjects (SOS) trial — a prospective controlled intervention study of bariatric surgery. J Intern Med. 2013;273(3):219-234.  https://doi.org/10.1111/joim.12012
  4. Morgan DJR, Platell C, Ho KM. The incidence and determinants of bariatric reoperations: A population-based cohort study. Surg Obes Relat Dis. 2020;16(5):663-669.  https://doi.org/10.1016/j.soard.2020.01.015
  5. Toma T, Harling L, Athanasiou T, Darzi A, Ashrafian H. Does body contouring after bariatric weight loss enhance quality of life? A systematic review of QOL studies. Obes Surg. 2018;28(10):3333-3341. https://doi.org/10.1007/s11695-018-3323-8
  6. Derderian SC, Dewberry LC, Patten L, et al. Excess skin problems among adolescents after bariatric surgery. Surg Obes Relat Dis. 2020;16(8):993-998.  https://doi.org/10.1016/j.soard.2020.04.020
  7. Al-Hadithy N, Mennie J, Magos T, Stewart K. Desire for post bariatric body contouring in South East Scotland. J Plast Reconstr Aesthet Surg. 2013;66(1):87-94.  https://doi.org/10.1016/j.bjps.2012.08.041
  8. Reavey PL, Klassen AF, Cano SJ, et al. Measuring quality of life and patient satisfaction after body contouring: A systematic review of patient-reported outcome measures. Aesthet Surg J. 2011;31(7):807-813.  https://doi.org/10.1177/1090820X11417426
  9. Paul MA, Opyrchał J, Knakiewicz M, et al. The long-term effect of body contouring procedures on the quality of life in morbidly obese patients after bariatric surgery. PLoS One. 2020;15(2):e0229138. https://doi.org/10.1371/journal.pone.0229138
  10. Plastic surgery statistics report. ASPS National Clearinghouse of Plastic Surgery Procedural Statistics. 2020;26.  https://www.plasticsurgery.org/documents/News/Statistics/2020/plastic-surgery-statistics-full-report-2020.pdf
  11. Monpellier VM, Antoniou EE, Mulkens S, Janssen IMC, Jansen ATM. Mink van der Molen AB. Body contouring surgery after massive weight loss: excess skin, body satisfaction, and qualification for reimbursement in a Dutch post-bariatric surgery population. Plast Reconstr Surg. 2019;143(5):1353-1360. https://doi.org/10.1097/prs.0000000000005525
  12. Elfanagely O, Mauch JT, Mellia JA, Byrnes YM, Othman S, Messa Iv CA, Fischer JP. Quality of Life and Concurrent Procedures in Truncal Body Contouring Patients: A Single-Center Retrospective Study. Aesthetic Plast Surg. 2021;45(4):1620-1627. https://doi.org/10.1007/s00266-021-02129-2
  13. Bordan NS, Yashkov YuI. Multipurpose abdominoplasty in obese patients. Annaly plasticheskoj, rekonstruktivnoj i esteticheskoj khirurgii. 2017;1:80-81. 
  14. De Kerviler S, Hüsler R, Banic A, Constantinescu MA. Body contouring surgery following bariatric surgery and dietetically induced massive weight reduction: A risk analysis. Obes Surg. 2009;19(5):553-559.  https://doi.org/10.1007/s11695-008-9659-8
  15. Coon D, Michaels J 5th, Gusenoff JA, Purnell C, Friedman T, Rubin JP. Multiple procedures and staging in the massive weight loss population. Plast Reconstr Surg. 2010;125(2):691-698.  https://doi.org/10.1097/prs.0b013e3181c87b3c
  16. Orpheu SC, Coltro PS, Scopel GP, Saito FL, Ferreira MC. Body contour surgery in the massive weight loss patient: three year-experience in a secondary public hospital. Rev Assoc Med Bras (1992). 2009;55(4):427-433.  https://doi:10.1590/s0104-42302009000400018
  17. Donnabella A, Neffa L, Barros BB, Santos FP. Abdominoplastia pós cirurgia bariátrica: experiência de 315 casos. Rev Bras Cir Plast. 2016;31(4):510-515.  https://www.dx.doi.org/10.5935/2177-1235.2016RBCP0084
  18. Parvizi D, Friedl H, Wurzer P, Kamolz LP, Lebo P, Tuca A, et al. A multiple regression analysis of postoperative complications after body-contouring surgery: A retrospective analysis of 205 patients: regression analysis of complications. Obes Surg. 2015;25(8):1482-1490. https://doi.org/10.1007/s11695-014-1559-5
  19. Masoomi H, Rimler J, Wirth GA, Lee C, Paydar KZ, Evans GR. Frequency and risk factors of blood transfusion in abdominoplasty in post-bariatric surgery patients: data from the nationwide inpatient sample. Plast Reconstr Surg. 2015;135(5):861-868.  https://doi.org/10.1097/prs.0000000000001161
  20. Shermak MA, Chang D, Magnuson TH, Schweitzer MA. An outcomes analysis of patients undergoing body contouring surgery after massive weight loss. Plast Reconstr Surg. 2006;118(4):1026-1031. https://doi.org/10.1097/01.prs.0000232417.05081.db
  21. Ferraz EM, Arruda PCL, Bacelar TS, Ferraz AAB, Albuquerque AC, Leão CS. Tratamento cirúrgico da obesidade mórbida. Rev Col Bras Cir. 2003;30(2):98-105.  https://doi.org/10.1590/S0100-69912003000200004
  22. Vilà J, Balibrea JM, Oller B, Alastrué A. Post-bariatric surgery body contouring treatment in the public health system: cost study and perception by patients. Plast Reconstr Surg. 2014;134(3):448-454.  https://doi.org/10.1097/prs.0000000000000428
  23. Bertheuil N, Bergeat D, Berkane Y, Carloni R, Gandolfi S, Duisit J. Lipo-Bodylift Reconstruction Following Massive Weight Loss: Our Experience with 100 Consecutive Cases. Aesthetic Plast Surg. 2021;45(5):2220-2228. https://doi:10.1007/s00266-020-02118-x
  24. Nemerofsky RB, Oliak DA, Capella JF. Body lift: an account of 200 consecutive cases in the massive weight loss patient. Plast Reconstr Surg. 2006;117(2):414-430.  https://doi:10.1097/01.prs.0000197524.18233.bb
  25. Michaels J 5th, Coon D, Rubin JP. Complications in postbariatric body contouring: strategies for assessment and prevention. Plast Reconstr Surg. 2011;127(3):1352-1357. https://doi:10.1097/PRS.0b013e3182063144
  26. Pascal JF. Complications of body lifts. Ann Chir Plast Esthet. 2019;64(5-6):644-652.  https://doi:10.1016/j.anplas.2019.07.023
  27. Losco L, Roxo AC, Roxo CW, et al. Lower Body Lift After Bariatric Surgery: 323 Consecutive Cases Over 10-Year Experience. Aesthetic Plast Surg. 2020;44(2):421-432.  https://doi:10.1007/s00266-019-01543-x
  28. Turer DM, Aly A. Seromas: How to Prevent and Treat Them: Our 20 Year Experience. Aesthet Surg J. 2021;sjab394. https://doi:10.1093/asj/sjab394
  29. Shermak MA. Abdominoplasty with Combined Surgery. Clin Plast Surg. 2020;47(3):365-377.  https://doi:10.1016/j.cps.2020.02.001
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