Τόμος 41 (2023) – Τεύχος 1 – Άρθρο 2 – Επιθεώρηση Κλινικής Φαρμακολογίας και Φαρμακοκινητικής-Ελληνική Έκδοση – Volume 41 (2023) – Issue 1 – Article 2 – Epitheorese Klinikes Farmakologias και Farmakokinetikes-Greek Edition

Τίτλος – Title

Post bariatric surgery: Μέθοδοι τεχνικές, αποτελέσματα και ο ρόλος του αισθητικού και κοσμητολόγου στην βελτίωση της κλινικής μετεγχειρητικής εικόνας του ασθενούς

Post-bariatric surgery – Surgical removal of excess skin after large or very large weight loss

Συγγραφέας – Author

Αντωνία Λέζου, Βασίλειος Πάγκαλος,  Δημήτριος Χανιώτης, Νικόλαος Θαλασσινός, Αθανασία Βαρβαρέσου

Αισθητικός και Κοσμητολόγος ΤΕΙ-Α-Εκπαιδευτικός, Ελλάς
ΠΜΣ «Προχωρημένη Αισθητική και Κοσμητολογία: Aνάπτυξη, Ποιοτικός έλεγχος και Ασφάλεια νέων καλλυντικών προϊόντων, Τμήμα Βιοϊατρικών Επιστημών, Πανεπιστήμιο Δυτικής Αττικής, 28 Αγίου Σπυρίδωνος, 12243 Αιγάλεω, Ελλάς
Πλαστικός Χειρουργός, ΜD, MSc, PhD, Κυριαζή 40, Κηφισιά GR-14562, Ελλάς
Τμήμα Βιοϊατρικών Επιστημών, Πανεπιστήμιο Δυτικής Αττικής, 28 Αγίου Σπυρίδωνος, 12243 Αιγάλεω, Ελλάς

A. Lezou, V. Pagkalos, D. Chaniotis, N. Thalassinos, A. Varvaresou

Aesthetician and Cosmetologist TEI-Teacher, Greece
Postgraduate program MSc “Advanced Aesthetics and Cosmetic Science: Development, quality control and safety of new cosmetic products”, Department of Biomedical Sciences, University of West Attica (UniWA), Greece
Plastic Surgeon, MD, MSc, PhD, Kyriazi 40, Kifisia GR-14562, Greece
4Department of Biomedical Sciences, University of West Attica (UniWA), Greece

Παραπομπή – Citation

A. Lezou, V. Pagkalos, D. Chaniotis, N. Thalassinos, A. Varvaresou.Post-bariatric surgery – Surgical removal of excess skin after large or very large weight loss. Epitheorese Klin. Farmakol. Farmakokinet. 2023, 41, 1, 11-19

Ημερομηνία Δημοσιευσης – Publication Date
10-03-2023
Γλώσσα Πλήρους Κειμένου –
Full Text Language

Ελληνικά – Greek

Λέξεις κλειδιά – Keywords
Παχυσαρκία, βαριατρικό χειρουργείο, περίγραµµα σώµατος, ασθητική, κοσμητολογία.
obesity, bariatric surgery, body contouring, aesthetics, cosmetic science
Λοιποί Όροι – Other Terms

Άρθρο Επισκόπησης
Review article

Περίληψη – Summary

Η πρώτη επέµβαση βαριατρικής πραγματοποιήθηκε το 1954, έκτοτε η συχνότητα της αυξάνεται ταυτόχρονα µε την αυξανόµενη πορεία που σημειώνει η νοσηρή παχυσαρκία. Οι ασθενείς δεν είναι προετοιµασµένοι να αποδεχτούν τις συνέπειες της µαζικής απώλειας βάρους καθώς επηρεάζεται σε μεγάλο βαθμό η ψυχοκοινωνική τους ζωή. Η περίσσεια δέρµατος είναι έντονη στην κοιλιακή χώρα, στα άνω άκρα, στην πλάτη και στους µηρούς. Συχνά, οι ασθενείς που υποβάλλονται στη διαδικασία αφαίρεσης περίσσειας δέρματος χρίζουν μια ιδιαίτερη νοσηλευτική φροντίδα. Η βασική αρχή πλαστικής χειρουργικής σε αυτή την ομάδα ασθενών περιλαμβάνει αρχικά την αφαίρεση της περίσσειας δέρματος σε διάφορες περιοχές του σώματος και έπειτα τη διαμόρφωση του σώματος σε συνδυασμό με την τεχνική της λιποαναρρόφησης. Έπειτα, οι γενικές αρχές περιλαµβάνουν πρόληψη των πιθανών επιπλοκών που προκαλούνται από την ακινησία και αποφυγή άσκησης υψηλής πίεσης στις χειρουργικές τοµές. Οι ουλές είναι ένα σηµαντικό αισθητικό πρόβληµα που αντιµετωπίζουν οι ασθενείς και για το λόγο αυτό προτείνεται η βελτιστοποίηση της διατροφικής τους κατάστασης καθώς και η χρήση ιατροτεχνολογικών προϊόντων και καλλυντικών.

The first bariatric surgery took place back in 1954, ever since then the bariatric surgeries are increasing accordingly to the increasing course of pathological obesity. The patients, are not ready to accept the consequences of the massive weight loss, so that they have an impact on their psychosocial life. The excesses skin is more intense to the following parts of body, abdomen, upper extremities, back and thighs. Sometimes it is vital for patients, who have undergone a plastic surgery and their postoperative course to have nursing care. Various handlings and the placement of the patient during their stay to the hospital, depend on the surgical procedure which has been chosen. General principles include the prevention of possible complications, which are caused by immobility, such as the avoidance of exerting high pressure to the surgical incisions. The scars are a major aesthetic problem for the patients, so they have to improve/ optimize their nutritional status. Medical devices-products-cosmetics may help to the improvement of the appearance of scars. Collagen and early healing of the surgical incisions, may decrease the complications to the trauma. Moreover, patients who have undergone an abdominoplasty are recommended careful handling.
Finally, the combination of invasive procedures for the body contour repair has better long term results. With the evolution of cosmetic surgery there are more variants of surgery techniques, which focus on the contour of the body after a bariatric surgery. Skin-reconstructive surgery after a bariatric operation improves to the maximum the body figure, self-esteem and quality of life.

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