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Background:Massive weight loss following bariatric surgery frequently results in significant skin and soft tissue laxity requiring reconstructive intervention. Abdominoplasty represents the most commonly performed procedure in the post-bariatric patient population, addressing both functional and aesthetic concerns.Objective:This comprehensive review examines current approaches to abdominoplasty in post-bariatric patients, including patient selection criteria, surgical techniques, perioperative management, and outcomes assessment while highlighting the importance of multidisciplinary care and proper timing.Methods:A systematic analysis of contemporary literature was conducted, focusing on surgical techniques, classification systems, complication management, and outcome measures for post-bariatric abdominoplasty.Results:Post-bariatric abdominoplasty differs significantly from traditional cosmetic procedures, with higher complication rates (15-40%) but substantial functional and psychological benefits. Modern surgical techniques and improved perioperative management have enhanced patient outcomes and satisfaction rates.Conclusions:Successful abdominoplasty in post-bariatric patients requires specialized expertise, careful patient selection, and comprehensive perioperative management. The procedure offers significant quality of life improvements despite increased complexity and complication risks

  • Количество прочтений 132
  • Дата публикации 10-07-2025
  • Язык статьиIngliz
  • Страницы26-35
English

Background:Massive weight loss following bariatric surgery frequently results in significant skin and soft tissue laxity requiring reconstructive intervention. Abdominoplasty represents the most commonly performed procedure in the post-bariatric patient population, addressing both functional and aesthetic concerns.Objective:This comprehensive review examines current approaches to abdominoplasty in post-bariatric patients, including patient selection criteria, surgical techniques, perioperative management, and outcomes assessment while highlighting the importance of multidisciplinary care and proper timing.Methods:A systematic analysis of contemporary literature was conducted, focusing on surgical techniques, classification systems, complication management, and outcome measures for post-bariatric abdominoplasty.Results:Post-bariatric abdominoplasty differs significantly from traditional cosmetic procedures, with higher complication rates (15-40%) but substantial functional and psychological benefits. Modern surgical techniques and improved perioperative management have enhanced patient outcomes and satisfaction rates.Conclusions:Successful abdominoplasty in post-bariatric patients requires specialized expertise, careful patient selection, and comprehensive perioperative management. The procedure offers significant quality of life improvements despite increased complexity and complication risks

№ Имя автора Должность Наименование организации
1 Jumaev N.A. ! Tashkent State Medical University
2 Urinboyev J.E. ! Tashkent State Medical University
3 Kurbanov G.I. ! Tashkent State Medical University
№ Название ссылки
1 1.American Societyof Plastic Surgeons. 2020 Plastic Surgery Statistics Report. Arlington Heights, IL: American Society of Plastic Surgeons; 2021.2.Hurwitz DJ, Rubin JP, Risin M, et al. Correcting the saddlebag deformity in the massive weight loss patient. Plast Reconstr Surg. 2004;114(5):1313-1325.3.Klassen AF, Cano SJ, Scott A, et al. Satisfaction and quality-of-life issues in body contouring surgery patients: a qualitative study. Obes Surg. 2012;22(10):1527-1534.4.Shermak MA, Rotellini-Coltvet LA, Chang D. Seroma developmentfollowing body contouring surgery for massive weight loss: patient risk factors and treatment strategies. Plast Reconstr Surg. 2008;122(1):280-288.5.Alpert BS, Sosa BR, Hassanein AH, et al. Event-free survival following body contouring surgery in post-bariatric patients. Aesthet Surg J. 2013;33(4):512-518.6.Arthurs ZM, Cuadrado D, Sohn V, et al. Post-bariatric panniculectomy: pre-panniculectomy body mass index impacts the complication profile. Am J Surg. 2007;193(5):567-570.7.Beer GM, Reichenbach M, Pittet-Cuénod B, et al. Swiss registry for amputation and reconstruction in massive weight loss. Scand J Plast Reconstr Surg Hand Surg. 2010;44(4):233-240.8.Broughton G 2nd, Janis JE, Attinger CE. The basic science of wound healing. Plast Reconstr Surg. 2006;117(7 Suppl):12S-34S.9.Chandawarkar RY, Rodriguez-Feliz J, Tanzini G. Abdominoplasty and abdominal wall rehabilitation: a comprehensive approach. Plast Reconstr Surg. 2004;113(1):360-363.10.Song AY, Rubin JP, Thomas V, et al. Body image and quality of life in post massive weight loss body contouring patients. Obesity (Silver Spring). 2006;14(9):1626-1636.11.Song AY, Jean RD, Hurwitz DJ, et al. A classification of contour deformities after bariatric weight loss: the Pittsburgh Rating Scale. Plast Reconstr Surg.2005;116(5):1535-1544.12.Hurwitz DJ, Agha-Mohammadi S. Postbariatric surgery breast reshaping: the spiral flap. Ann Plast Surg. 2006;56(5):481-486.13.Hunstad JP, Reisfeld R. High-lateral-tension abdominoplasty. Aesthet Surg J. 2003;23(6):447-45614.Janis JE, Khansa I, Khansa L, et al. Strategies for postoperative seroma prevention: a systematic review. Plast Reconstr Surg. 2016;138(1):240-252.15.Kenkel JM, Stephan PJ, Farah A, et al. Postbariatric body contouring. Plast Reconstr Surg. 2004;114(6):1604-1612.16.Le Louarn C, Pascal JF. High Superior Tension abdominoplasty. Aesthet Plast Surg. 2000;24(5):375-381.17.Lockwood T. High-lateral-tension abdominoplasty with superficial fascial system suspension. Plast Reconstr Surg. 1995;96(3):603-615.18.Modolin ML, Cintra W Jr, Gobbi CI, et al. Circumferential abdominoplasty for sequential treatment after bariatric surgery. Obes Surg. 2003;13(1):95-100.19.Nahas FX, Augusto SM, Ghelfond C. Should diastasis recti be corrected? Aesthetic Plast Surg. 1997;21(4):285-289.20.NeamanKC, Hansen JE. Analysis of complications from abdominoplasty: a review of 206 cases at a university hospital. Ann Plast Surg. 2007;58(3):292-298.21.O'Brien JX, Ashton MW, Rozen WM, et al. New perspectives on the surgical anatomy and vascular territory of the transverse rectus abdominis myocutaneous flap: a systematic review. Plast Reconstr Surg. 2009;124(4):1185-1194.22.Pascal JF, Le Louarn C. Remodeling bodylift with high lateral tension. Aesthetic Plast Surg. 2002;26(3):223-230.23.Rogliani M, Silvi E, Labardi L, et al. Obese and nonobese patients: complications of abdominoplasty. Ann Plast Surg. 2006;57(3):336-338.24.Tolino DA, Colletti G, Gatti A, et al. Prevalence of pre-existing psychiatric symptoms in post-bariatric patients candidate to body contouring surgery. Obes Surg. 2007;17(10):1399-1405.25.Rubin JP, Matarasso A, Watarkar S, et al. Body contouring and liposuction. Plast Reconstr Surg. 2006;117(1 Suppl):1S-54S.26.Saldanha OR, Pinto EB, Mattos WN Jr, et al. Lipoabdominoplasty with selective and safe undermining. Aesthetic Plast Surg. 2003;27(4):322-327.27.Shermak MA, Chang D, Magnuson TH, et al. An outcomes analysis of patients undergoing body contouring surgery after massive weight loss. Plast Reconstr Surg. 2006;118(4):1026-1031.28.Тешаев, О. Р., & Жумаев, Н. А.(2023). БЛИЖАЙШИЕ РЕЗУЛЬТАТЫ ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ ОЖИРЕНИЙ. Евразийский журнал медицинских и естественных наук, 3(2), 200-208.29.Teshaev, O. R., Ruziev, U. S., Murodov, A. S., & Zhumaev, N. A. (2019). THE EFFECTIVENESS OF BARIATRIC AND METABOLIC SURGERY IN THE TREATMENT OF OBESITY. Toshkent tibbiyot akademiyasi axborotnomasi, (5), 132-138.30.Тешаев, О. Р., Рузиев, У. С., Тавашаров, Б. Н., & Жумаев, Н. А. (2020). Эффективность бариатрической и метаболической хирургии в лечении ожирения. Медицинские новости, (6 (309)), 64-66.31.Staalesen T, Elander A, Strandell A, et al. A systematic review of outcomes of abdominoplasty. J Plast Reconstr Aesthet Surg. 2012;65(5):551-558.32.Swanson E. Prospective outcome study of 360 patients treated with liposuction, lipoabdominoplasty, and abdominoplasty. Plast Reconstr Surg. 2012;129(4):965-978.33.Tercan M, Bekerecioglu M, Dikensoy O, et al. Effects of abdominoplasty on respiratory functions: a prospective study. Ann Plast Surg. 2002;49(6):617-620.34.van Uchelen JH, Werker PM, Kon M. Complications of abdominoplasty in 86 patients. Plast Reconstr Surg. 2001;107(7):1869-1873.35.Vastine VL, Morgan RF, Williams GS, et al. Wound complications of abdominoplasty in obese patients. Ann Plast Surg. 1999;42(1):34-39.36.Winocour J, Gupta V, Ramirez JR, et al. Abdominoplasty: risk factors, complication rates, and safety of combined procedures. Plast Reconstr Surg. 2015;136(3):597-606.37.Xiao X, Tang Z, Qin Z, et al. A systematic review and meta-analysis of complications and reoperationsin abdominoplasty. Aesthet Surg J. 2017;37(10):1135-1149.38.Yegiyants S, Tam M, Lee DJ, et al. Post-bariatric abdominoplasty: assessment of safety using a evidence-based approach. Plast Reconstr Surg. 2008;121(6):1954-1962.39.Zuelzer H, Fanous A, Scomacao IK,et al. A systematic approach to surgical site infection prevention in post-bariatric body contouring patients. Ann Plast Surg. 2016;77(5):540-548.40.Baroudi R, Ferreira CA. Seroma: how to avoid it and how to treat it. Aesthet Surg J. 1998;18(6):439-441.41.Brauman D. Diastasis recti: clinical anatomy. Plast Reconstr Surg. 2008;122(5):1564-1569.42.Dilzer MM, Cronin ED, Petty PM. Seroma prevention in abdominoplasty: a randomized study comparing two surgical techniques. Plast Reconstr Surg. 2006;117(6):1779-1784.43.Fang RC, Lin SJ, Mustoe TA. Abdominoplasty flap elevation in a more superficial plane: decreasing complications and improving donor site aesthetic outcome. Plast Reconstr Surg. 2010;125(4):1234-1242.44.Greenbaum AR, Heslop T, Morris J, et al. An investigation of the suitability of bio-absorbable meshes for abdominal wall reconstruction. Surg Endosc. 2000;14(1):48-53.45.Hensel JM, Lehman JA Jr, Tantri MP, et al. An outcomes analysis and satisfaction survey of 199 consecutive abdominoplasties. Ann Plast Surg. 2001;46(4):357-363.46.Hughes CE 3rd, Daane S, McDermott K. Abdominoplasty: a review of 333 consecutive cases. Plast Reconstr Surg. 2003;112(7):1988-1997.47.Khan UD. Risk of seroma with simultaneous liposuction and abdominoplasty and the role of progressive tension sutures. Aesthetic Plast Surg. 2008;32(1):93-99.48.Kim J, Stevenson TR. Abdominoplasty, liposuction of the flanks, and obesity: analyzing risk factors for seroma formation. Plast Reconstr Surg. 2006;117(3):773-779.49.Koller M, Hintringer T. Massive weight loss following bariatric surgery and the dermato-surgical consequences. Aesthetic Plast Surg. 2012;36(5):1021-1025.50.Lockwood TE. Superficial fascial system (SFS) of the trunk and extremities: a new concept. Plast Reconstr Surg. 1991;87(6):1009-1018.51.Mayr M, Holm C, Höfter E, et al. Effects of aesthetic abdominoplasty on abdominal wall muscles: a computed tomography evaluation. Aesthetic Plast Surg. 2004;28(5):262-267.52.Nahabedian MY, Dellon AL. Outcome of the diabetic patient following combined abdominoplasty and gastric bypass. Plast Reconstr Surg. 2005;116(6):1696-1704.53.Park AJ, Hunstad JP, Hirsch EM. Abdominoplasty: techniques to avoid complications andachieve optimal results. Aesthetic Surg J. 2004;24(4):322-327.54.Pollock H, Pollock T. Progressive tension sutures: a technique to reduce local complications in abdominoplasty. Plast Reconstr Surg. 2000;105(7):2583-2586.55.Rosen AD, Vyas RM, Saouaf R, et al. Bilateral intercostal nerve blocks with liposomal bupivacaine as part of a multimodal analgesia protocol for post-bariatric body contouring surgery: a case series. Aesthet Surg J. 2015;35(7):NP181-NP186.56.Rubin JP, KhachiG. Mastopexy after massive weight loss: dermal suspension and selective auto-augmentation. Clin Plast Surg. 2008;35(1):123-129.57.Saxe A, Alseidi A, Brams D, et al. Venous thromboembolism in bariatric surgery: true incidence and prophylaxis. Obes Surg. 2008;18(9):1145-1150.58.Stewart KJ, Stewart DA, Coghlan B, et al. Complications of 278 consecutive abdominoplasties. J Plast Reconstr Aesthet Surg. 2006;59(11):1152-1158.59.Teshaev, O. R., Rakhmonova, N. A., Jumaev, N., & Babadjanov, A. O. (2020). A review of spreading ways, features of diagnosis and treatment of coronavirus infection. Central Asian Journal of Medicine, (3), 119-134.60.Khaitov, I. B., & Jumaev, N. A. (2023). SIMULTANEOUS OPERATION: LIVER ECHINOCOCCOSIS AND SLEEVE RESECTION (CLINICAL CASE). European Journal of Clinical Medicine, 4(2), 45-52.
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