The Skin's Neurological Function Evaluation in Post-Bariatric Plastic Surgery

Abstract

Sir Rieger,With great enthusiasm we read your letter about our article[1] because we share the same points of view, consideringquestionsaboutpossiblepreservationofabdominalcutaneoussensation after post-bariatric abdominoplasties without flapundermining as previously studied [2]. The skin's neurolog-ical function refers directly to the sensorial function [3]. Theconventional abdominosplasty causes hypoesthesia [4]thatexposes the patients to traumas and accidental burn injuries[5].Rieger et al. [6, 7] present a logical way (algorithm) toelect the most suitable technique for each formerly obeseindividual. One of the best clinical trials in post-bariatricplastic surgery that intended to find some possible causes ofpostoperative complications did not study the skin'sneurological function [8].It is well known that tegument's denervation damagesthe wound healing [9]. Future studies will investigate somepossible correlation among skin's sensorial/neurologicalfunction and complications after post-bariatric plasticsurgeries. Believing that tegument's neurological functionshould be maintained when possible, we keep studying andencouraging new researches about this subject.