Guerrero-Reyes A

Language: Spanish
References: 20
Page: 52-61
PDF size: 1303.18 Kb.

ABSTRACT

Bariatric plastic surgery employs abdominal panniculectomies in obese patients. For plastic surgeons, obese patients are not considered candidates for panniculectomy or liposuction, due to high complication rates. The objective of this study was to demonstrate a method for performing infraumbilical panniculectomies, anterior abdominal liposuction, and posterior thoracic and lumbosacral liposuction in obese patients, in separable events spaced 3 to 6 months or more apart, maintaining a maximum of 15% of the total body surface area and a maximum surgical time of 4.5 hours. Panniculectomies and liposuction were performed in events spaced three to six months apart. Over 24 years in patients with GI, GII, and GIII obesity, maintaining a maximum of 15% TBS and 4.5 hours of surgical time per event. Pre and postoperative hemograms, the xiphoid to the anterior angle of the vulva, waist circumference, and body weight were measured distance. A total of 4,056 patients underwent infraumbilical panniculectomies, 1,608 anterior abdominal liposuctions, and 1,804 posterior thoracic and lumbosacral liposuctions. All these patients showed reductions in the xiphoid to the anterior angle of the vulva distance, waist circumference, and body weight. There were 221 (2.95%) complications none fatal or severe. It is concluded that infraumbilical panniculectomy, anterior abdominal liposuction, and posterior thoracic and lumbosacral liposuction can be performed in obese patients using the staged method at 3- to 6-month intervals, maintaining a maximum 15% TBS, 4.5 hours of surgery, and maintaining a low complication rate.

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