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Postbariatrische Plastische Chirurgie

Postbariatric plastic surgery

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Zusammenfassung

Eine Anzahl von ca. 1,7 Mrd. Menschen wird weltweit als übergewichtig oder adipös eingestuft. Die äußerst facettenreiche chirurgische Therapie der Adipositas blickt auf eine kurze Geschichte zurück. Nach erfolgreicher Gewichtsreduktion mit Stabilisierung des Gewichts benötigt etwa ein Drittel der Patienten einen plastisch-chirurgischen rekonstruktiven Eingriff. Im Rahmen eines Therapiekonzeptes der modernen bariatrischen Chirurgie bildet die Plastische Chirurgie stets die abschließende Einheit der Therapiemaßnahmen. Die postbariatrische Plastische Chirurgie mit Entfernung von Hautfettgewebe und angleichender Körperformung dient nicht primär der Behandlung von Übergewicht, sondern der Körperkonturierung und funktionellen Rekonstruktion. Dieser Beitrag stellt die Möglichkeiten und Grenzen der modernen Plastischen und Rekonstruktiven Chirurgie bei bariatrischen Patienten zusammen.

Abstract

Approximately 1.7 billion people around the world are defined as being overweight or obese. Various surgical options to treat obesity have quite recently been developed. Following efficient and lasting weight loss, up to one-third of the patients will require plastic and reconstructive surgery. Plastic surgery will thus be the final part of a modern bariatric treatment plan. Postbariatric plastic surgery interventions do not treat obesity but rather remove excess skin and restore the normal body contour and function of the bariatric patient. The presented work summarizes current concepts and limitations in modern plastic and reconstructive surgery of the bariatric patient population.

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Authors and Affiliations

  1. Klinik für Plastische Chirurgie, Hand- und Verbrennungschirurgie, Universitätsklinikum RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland

    N. Pallua & E. Demir

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  1. N. Pallua
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  2. E. Demir
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Correspondence to N. Pallua.

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Pallua, N., Demir, E. Postbariatrische Plastische Chirurgie. Chirurg 79, 843–853 (2008). https://doi.org/10.1007/s00104-008-1538-2

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