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Outcome of Body-Contouring Procedures After Massive Weight Loss

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Abstract

Background

With the increased popularity of bariatric surgery, the demand for body-contouring procedures is growing. Associated with these procedures are a number of complications due to different risk factors and patients’ characteristics. The aim of this study was to assess the outcome of body-contouring procedures and correlate it to possible risk factors.

Methods

The study included a collective of 112 patients who underwent 157 body-contouring procedures. Patients’ characteristics, risk factors, and complications have been recorded. Three groups were formed based on the type of surgical procedure to perform correlations of BMI, weight of resected tissue, and length of hospital stay using Spearman’s rank test. Correlations between patients’ risk factors and complication occurrence were analyzed with Fisher’s exact test.

Results

The most common procedure patients underwent was the classic abdominoplasty (n = 53). A significant correlation was found between preoperative BMI and weight of resected tissue in abdominoplasties (rho = 0.69), Fleur-de-Lis abdominoplasties (rho = 0.64), and body lifts (rho = 0.60). There was a significant correlation between weight of resected tissue and length of hospital stay (rho = 0.53) and preoperative BMI and length of hospital stay (rho = 0.4) as well. There was no significant correlation between patients’ comorbidities or smoking status and the postoperative complication rate. The mean weight of resected tissue was higher in patients with than without complications requiring surgical revision.

Conclusions

The relevance of risk factors commonly believed to have an influence on postoperative complications should be revised. The weight of resected tissue has an influence on complication.

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Author information

Authors and Affiliations

  1. Department of Hand, Plastic and Reconstructive Surgery, BG Trauma Center, Eberhard-Karls University of Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Germany

    Sabrina Krauss, Raluca Medesan, Jaantje Black, Fabian Medved, Ruth Schaefer, Hans-Eberhard Schaller, Adrien Daigeler & Theodora Wahler

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  1. Sabrina Krauss
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  2. Raluca Medesan
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  8. Theodora Wahler
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Correspondence to Theodora Wahler.

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The study was approved by the ethics committee of the University of Tübingen (project number 711/2013BO2).

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Krauss, S., Medesan, R., Black, J. et al. Outcome of Body-Contouring Procedures After Massive Weight Loss. OBES SURG 29, 1832–1840 (2019). https://doi.org/10.1007/s11695-019-03773-z

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