Abstract
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. 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. 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. 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. 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.
Highlights
Obesity is currently a global epidemic, accounting for reduction in life expectancy, increased mortality, worsening in quality of life, and high costs to public health[1]
There was a reduction in Body Mass Index (BMI) from the PB to the PP periods, with an average evolving from 48.7 kg/m2 to 29.5 kg/m2 (p
There was a difference between sexes for BMI in both the PB and in PP periods, and the average for men was always higher than for women, as in PP, when we observed 34.3 kg/m2 and 29.1 kg/m2, respectively (p
Summary
Obesity is currently a global epidemic, accounting for reduction in life expectancy, increased mortality, worsening in quality of life, and high costs to public health[1]. The prevalence of overweight and obesity in children and adolescents has increased dramatically in the last 30 years, rising from 4% in 1975 to 18% in 20162. Clinical and surgical methods have been used for obesity treatment. Clinical treatment is effective for most obese patients, but in case of the severely obese, bariatric surgery is the most effective method. An increasing number of patients are submitted to this surgical modality, which provides rapid and intense weight loss, but results in functional and aesthetic body sequelae[4]. Such changes correspond to what is conventionally called dysmorphia, characterized by fatty accumulations predominantly in the arms, breasts, abdomen, and thighs[5]
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