Multiple procedures and staging in the massive weight loss population

Plastic and Reconstructive Surgery
Devin CoonJ Peter Rubin

Abstract

Unlike traditional plastic surgery patients who present with a specific anatomical complaint, massive weight loss patients often have multiple regions of concern. No single procedure can address the whole-body deformities associated with massive weight loss. The authors sought to quantify their clinical experience to provide evidence-based analysis of procedural combination in body contouring. Patients were enrolled in an institutional review board-approved prospective clinical database over a 5-year period. Procedure categories included breast, medial thigh lift, buttock and lateral thigh lift, upper back lift, brachioplasty, and abdomen. Analysis of variance was used to analyze differences between procedure combinations. Six hundred nine massive weight loss patients underwent 661 cases involving 1070 procedures. Length of hospital stay increased with the number of procedures performed (p < 0.001). Second-stage cases (n = 60) had similar complication rates and length of hospital stay. Seroma and dehiscence were strongly correlated with the number of procedures (p < 0.001), as were tissue necrosis and infection (p = 0.02), whereas hematoma was unrelated (p = 0.25). Major complications did not increase in multiple-procedure case...Continue Reading

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Citations

May 7, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Zita M Jessop, Charles M Malata
Aug 4, 2010·Plastic and Reconstructive Surgery·Tommaso AgostiniMario Dini
Dec 3, 2010·Plastic and Reconstructive Surgery·Matthias Koller, Thomas Hintringer
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Aug 21, 2021·Plastic and Reconstructive Surgery. Global Open·Christine YinSami U Khan

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