Formal Abdominoplasty versus Mini-Abdominoplasty Post Laparoscopic Sleeve Gastrectomy

Abstract

Background: obesity nowadays is associated with comorbidities that double folded the mortality as cancer, cardiovascular disease, and diabetes. And weight loss by dietary changes and exercise usually does not achieve the desired weight loss goals. As such, bariatric surgery has become the treatment of choice for obesity and co-morbidities. Body contouring and specially abdominoplasty after bariatric surgery is a component in the treatment of the obese patient and is well accepted by patients, despite the extensive scarring with all of the surgical procedures. There is evidence that post–bariatric surgery patients who have subsequent body contouring surgery maintain their weight loss. Aim of the Work: to compare between formal and modern mini-abdominoplasty after laparocopic sleeve gastrectomy. Patients and Methods: this comparative study included two groups of thirty patients each, group I consisted of patients with redundancy at the ventral part of the abdomen after weight loss stabilization at BMI 30 for more than 6 months post laparoscopic sleeve gastrectomy, where formal, traditional, abdominoplasty was done to them. While group II consisted of patients with redundancy at the ventral part of the abdomen after weight loss stabilization at BMI 30 for more than 6 months post laparoscopic sleeve gastrectomy, where modern mini-abdominoplasty was done to them. Results: as regarding Flank fullness post Abdominoplasty Group I resolved the flank fullness except for 10 while Group II 20 cases still with flank fullness, therefore there was statistical significant difference between the two groups as (p value) = 0.009823. As regarding upper abdominal wall bulge condition resolved successfully in 27 cases from group I and only 10 from Group II, therefore there was statistical significant difference between the two groups as (p value) = 0.000006. Conclusion: abdominoplasty gives the patient seeking weight loss the encouragement and well to lose more weight and improve his psychological state, traditional abdominoplasty provide a comprehensive treatment of abdominal wall redundancy, even in the most severe cases, the patients get both functioning and cosmetic improvement. Mini-abdominoplasty is less effective, not appropriate method to treat patients with lipodystrophy of the trunk and fullness of the flanks post laparoscopic sleeve gastrectomy and bariatric surgeries.