Plastic surgery after massive weight loss following biliopancreatic diversion

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P.I. Zelenchenkova

Sechenov First Moscow State Medical University (Sechenov University)

N.E. Manturova

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

SPIN RSCI: 5232-0412
Scopus AuthorID: 55461712100
ORCID: 0000-0003-4281-1947

Pino Del

Andarai Federal Hospital

N.S. Bordan

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

Yu.I. Yashkov

Center for Endosurgery and Lithotripsy

A.S. Orlova

Sechenov First Moscow State Medical Univesity

M. Avala

Institute of Plastic Surgery and Cosmetology

Plastic surgery after massive weight loss following biliopancreatic diversion

Authors:

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

More about the authors

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

DOI: 10.17116/plast.hirurgia202203151

Views: 2026

Downloaded: 54

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To cite this article:

Zelenchenkova PI, Manturova NE, Del PinoRoxo, 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

Здоровье щитовидной железы – 2024

Перекрестки терапевтических проблем

Доказательная гастроэнтерология: pro et contra

Актуальные вопросы педиатрической практики

NN - давайте знакомится (08.04.2024)

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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:

P.I. Zelenchenkova

Sechenov First Moscow State Medical University (Sechenov University)

N.E. Manturova

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

SPIN RSCI: 5232-0412
Scopus AuthorID: 55461712100
ORCID: 0000-0003-4281-1947

Pino Del

Andarai Federal Hospital

N.S. Bordan

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

Yu.I. Yashkov

Center for Endosurgery and Lithotripsy

A.S. Orlova

Sechenov First Moscow State Medical Univesity

M. Avala

Institute of Plastic Surgery and Cosmetology

Received:

17.05.2022

Accepted:

30.05.2022

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