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 A. Lezou, V. Pagkalos, D. Chaniotis, N. Thalassinos, A. Varvaresou Aesthetician and Cosmetologist TEI-Teacher, 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 |
|
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. |
|
Αναφορές – References
|
1. Elrazek, A. E. M. A. A., Elbanna, A. E. M., & Bilasy, S. E. (2014). Medical management of patients after bariatric surgery: Principles and guidelines. World Journal of Gastrointestinal Surgery, 6(11), 220–228. https://doi.org/10.4240/wjgs.v6.i11.220 2. Aldaqal, S. M., Makhdoum, A. M., Turki, A. M., Awan, B. A., Samargandi, O. A., & Jamjom, H. (2013). Post-Bariatric Surgery Satisfaction and Body-Contouring Consideration after Massive Weight Loss. North American Journal of Medical Sciences, 5(4), 301–305. https://doi.org/10.4103/1947-2714.110442 3. Giordano, S., Victorzon, M., Stormi, T., & Suominen, E. (2014). Desire for body contouring surgery after bariatric surgery: Do body mass index and weight loss matter? Aesthetic Surgery Journal, 34(1), 96–105. https://doi.org/10.1177/1090820X13515701 4. Staalesen, T., Olbers, T., Dahlgren, J., Fagevik Olsén, M., Flodmark, C.-E., Marcus, C., & Elander, A. (2014). Development of excess skin and request for body-contouring surgery in postbariatric adolescents. Plastic and Reconstructive Surgery, 134(4), 627–636. https://doi.org/10.1097/PRS.0000000000000515 5. Kitzinger, H. B., Abayev, S., Pittermann, A., Karle, B., Bohdjalian, A., Langer, F. B., Prager, G., & Frey, M. (2012). After massive weight loss: Patients’ expectations of body contouring surgery. Obesity Surgery, 22(4), 544–548. https://doi.org/10.1007/s11695-011-0551-6 6. Toninello, P., Montanari, A., Bassetto, F., Vindigni, V., & Paoli, A. (2021). Nutritional Support for Bariatric Surgery Patients: The Skin beyond the Fat. Nutrients, 13(5), 1565. https://doi.org/10.3390/nu13051565 7. Agha-Mohammadi, S., & Hurwitz, D. J. (2008). Nutritional deficiency of post-bariatric surgery body contouring patients: What every plastic surgeon should know. Plastic and Reconstructive Surgery, 122(2), 604–613. https://doi.org/10.1097/PRS.0b013e31817d6023 8. Buchwald, H. & Consensus Conference Panel. (2005). Consensus conference statement bariatric surgery for morbid obesity: Health implications for patients, health professionals, and third-party payers. Surgery for Obesity and Related Diseases: Official Journal of the American Society for Bariatric Surgery, 1(3), 371–381. https://doi.org/10.1016/j.soard.2005.04.002 9. Mechanick, J. I., Youdim, A., Jones, D. B., Garvey, W. T., Hurley, D. L., McMahon, M. M., Heinberg, L. J., Kushner, R., Adams, T. D., Shikora, S., Dixon, J. B., Brethauer, S., American Association of Clinical Endocrinologists, Obesity Society, & American Society for Metabolic & Bariatric Surgery. (2013). Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient–2013 update: Cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity (Silver Spring, Md.), 21 Suppl 1, S1-27. https://doi.org/10.1002/oby.20461 10. Acarturk, T. O., Wachtman, G., Heil, B., Landecker, A., Courcoulas, A. P., & Manders, E. K. (2004). Panniculectomy as an adjuvant to bariatric surgery. Annals of Plastic Surgery, 53(4), 360–366; discussion 367. https://doi.org/10.1097/01.sap.0000135139.33683.2f 11. Nemerofsky, R. B., Oliak, D. A., & Capella, J. F. (2006). Body lift: An account of 200 consecutive cases in the massive weight loss patient. Plastic and Reconstructive Surgery, 117(2), 414–430. https://doi.org/10.1097/01.prs.0000197524.18233.bb 12. Chandawarkar, R. Y. (2006). Body contouring following massive weight loss resulting from bariatric surgery. Advances in Psychosomatic Medicine, 27, 61–72. https://doi.org/10.1159/000090964 13. Cai, A., Maringa, L., Hauck, T., Boos, A. M., Schmitz, M., Arkudas, A., Horch, R. E., & Ludolph, I. (2020). Body Contouring Surgery Improves Physical Activity in Patients After Massive Weight Loss-a Retrospective Study. Obesity Surgery, 30(1), 146–153. https://doi.org/10.1007/s11695-019-04145-3 14. Staalesen, T., Elander, A., Strandell, A., & Bergh, C. (2012). A systematic review of outcomes of abdominoplasty. Journal of Plastic Surgery and Hand Surgery, 46(3–4), 139–144. https://doi.org/10.3109/2000656X.2012.683794 15. Arthurs, Z. M., Cuadrado, D., Sohn, V., Wolcott, K., Lesperance, K., Carter, P., & Sebesta, J. (2007). Post-bariatric panniculectomy: Pre-panniculectomy body mass index impacts the complication profile. American Journal of Surgery, 193(5), 567–570; discussion 570. https://doi.org/10.1016/j.amjsurg.2007.01.006 16. Lievain, L., Aktouf, A., Auquit-Auckbur, I., Coquerel-Beghin, D., Scotte, M., & Milliez, P.-Y. (2015). [Abdominoplasty complications: Particularities of the post-bariatric patients within a 238 patients series]. Annales De Chirurgie Plastique Et Esthetique, 60(1), 26–34. https://doi.org/10.1016/j.anplas.2014.08.013 17. Constantine, R. S., Davis, K. E., & Kenkel, J. M. (2014). The effect of massive weight loss status, amount of weight loss, and method of weight loss on body contouring outcomes. Aesthetic Surgery Journal, 34(4), 578–583. https://doi.org/10.1177/1090820X14528208 18. Rohrich, R. J. (2001). Mastering shape and form in cosmetic surgery: The annual meeting of the american society for aesthetic plastic surgery. Plastic and Reconstructive Surgery, 108(3), 741–742. https://doi.org/10.1097/00006534-200109010-00021 19. Taylor, J., & Shermak, M. (2004). Body contouring following massive weight loss. Obesity Surgery, 14(8), 1080–1085. https://doi.org/10.1381/0960892041975578 20. Shrivastava, P., Aggarwal, A., & Khazanchi, R. K. (2008). Body contouring surgery in a massive weight loss patient: An overview. Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India, 41(Suppl), S114–S129. 21. Cabbabe, S. W. (2016). Plastic Surgery after Massive Weight Loss. Missouri Medicine, 113(3), 202–206. 22. Gusenoff, J. A., & Rubin, J. P. (2008). Plastic surgery after weight loss: Current concepts in massive weight loss surgery. Aesthetic Surgery Journal, 28(4), 452–455. https://doi.org/10.1016/j.asj.2008.06.001 23. Sami, K., Elshahat, A., Moussa, M., Abbas, A., & Mahmoud, A. (2015). Image Analyzer Study of the Skin in Patients With Morbid Obesity and Massive Weight Loss. Eplasty, 15, e4. 24. Light, D., Arvanitis, G. M., Abramson, D., & Glasberg, S. B. (2010). Effect of weight loss after bariatric surgery on skin and the extracellular matrix. Plastic and Reconstructive Surgery, 125(1), 343–351. https://doi.org/10.1097/PRS.0b013e3181c2a657 25. Zouridaki, E., Papafragkaki, D.-K., Papafragkakis, H., Aroni, K., & Stavropoulos, P. (2014). Dermatological complications after bariatric surgery: Report of two cases and review of the literature. Dermatology (Basel, Switzerland), 228(1), 5–9. https://doi.org/10.1159/000356160 26. Most, D., Kozlow, J., Heller, J., & Shermak, M. A. (2005). Thromboembolism in plastic surgery. Plastic and Reconstructive Surgery, 115(2), 20e–30e. https://doi.org/10.1097/01.prs.0000150147.31475.bb 27. Gusenoff, J. A. (2014). Prevention and management of complications in body contouring surgery. Clinics in Plastic Surgery, 41(4), 805–818. https://doi.org/10.1016/j.cps.2014.06.006 28. Zuelzer, H. B., & Baugh, N. G. (2007). Bariatric and body-contouring surgery: A continuum of care for excess and lax skin. Plastic Surgical Nursing: Official Journal of the American Society of Plastic and Reconstructive Surgical Nurses, 27(1), 3–13; quiz 14–15. https://doi.org/10.1097/01.PSN.0000264157.22882.d1 29. Colwell, A. S. (2010). Current concepts in post-bariatric body contouring. Obesity Surgery, 20(8), 1178–1182. https://doi.org/10.1007/s11695-010-0120-4 30. Al-Hadithy, N., Aditya, H., & Stewart, K. (2014). Does the degree of ptosis predict the degree of psychological morbidity in bariatric patients undergoing reconstruction? Plastic and Reconstructive Surgery, 134(5), 942–950. https://doi.org/10.1097/PRS.0000000000000695 31. Heddens, C. J. (2006). An update on brachioplasty. Plastic Surgical Nursing: Official Journal of the American Society of Plastic and Reconstructive Surgical Nurses, 26(2), 68–72. https://doi.org/10.1097/00006527-200604000-00006 32. Dhivya, S., Padma, V. V., & Santhini, E. (2015). Wound dressings – a review. BioMedicine, 5(4), 22. https://doi.org/10.7603/s40681-015-0022-9 33. Doillon, C. J., & Silver, F. H. (1986). Collagen-based wound dressing: Effects of hyaluronic acid and fibronectin on wound healing. Biomaterials, 7(1), 3–8. https://doi.org/10.1016/0142-9612(86)90080-3 34. Borkow, G., Gabbay, J., Dardik, R., Eidelman, A. I., Lavie, Y., Grunfeld, Y., Ikher, S., Huszar, M., Zatcoff, R. C., & Marikovsky, M. (2010). Molecular mechanisms of enhanced wound healing by copper oxide-impregnated dressings. Wound Repair and Regeneration: Official Publication of the Wound Healing Society [and] the European Tissue Repair Society, 18(2), 266–275. https://doi.org/10.1111/j.1524-475X.2010.00573.x 35. Khatri, K. A., Mahoney, D. L., & McCartney, M. J. (2011). Laser scar revision: A review. Journal of Cosmetic and Laser Therapy: Official Publication of the European Society for Laser Dermatology, 13(2), 54–62. https://doi.org/10.3109/14764172.2011.564625 36. Xiao, A., & Ettefagh, L. (2022). Laser Revision Of Scars. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK539686/ |
|
Σχετικές Εργασίες – Relative Papers
|
Online ISSN 1011-6575
• Elsevier’s Bibliographic Databases: Scopus, EMBASE, EMBiology, Elsevier BIOBASE
SCImago Journal and Country Rank Factor
Articles published in this Journal are Indexed or Abstracted in:
• Chemical Abstracts
• Elsevier’s Bibliographic Databases: Scopus, EMBASE, EMBiology, Elsevier BIOBASE
SCImago Journal and Country Rank Factor
Τι είναι η Επιθεώρηση Κλινικής Φαρμακολογίας και Φαρμακοκινητικής-Ελληνική Έκδοση-Οδηγίες προς τους Συγγραφείς
What is Epitheorese Klinikes Farmakologias και Farmakokinetikes-Greek Edition-Instrunctions to Authors
Άρθρα Δημοσιευμένα στην Επιθεώρηση Κλινικής Φαρμακολογίας και Φαρμακοκινητικής-Ελληνική Έκδοση
Articles Published in Epitheorese Klinikes Farmakologias και Farmakokinetikes-Greek Edition