A1 Refereed original research article in a scientific journal
Physical discomfort due to redundant skin in post-bariatric surgery patients
Authors: Giordano S, Victorzon M, Koskivuo I, Suominen E
Publisher: ELSEVIER SCI LTD
Publishing place: OXFORD; THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, OXON, ENGLAND
Publication year: 2013
Journal: Journal of Plastic, Reconstructive and Aesthetic Surgery
Journal name in source: Journal of Plastic Reconstructive and Aesthetic Surgery
Journal acronym: J.Plast.Reconstr.Aesthet.Surg.
Number in series: 7
Volume: 66
Issue: 7
First page : 950
Last page: 955
Number of pages: 6
ISSN: 1748-6815
DOI: https://doi.org/10.1016/j.bjps.2013.03.016
Abstract
Massive weight loss after bariatric surgery leads to excess skin with functional and aesthetic impairments. The aim of this study was to evaluate the prevalence of excess skin after bariatric surgery and identify any relationship with pre- and postoperative characteristics. A total of 360 patients who had undergone bariatric surgery procedures were asked to complete a questionnaire designed by the surgical team at least 1 year after surgery. This questionnaire was planned to estimate any impairment due to redundant skin, which was graded according to a visual analogue scale (VAS, 0--0). Mean (standard deviation, SD) age of 110 males and 250 females was 51.2 (10.8) years. Mean preoperative body mass index (BMI) was 45.7 (6.4) kg m(-2) and mean postoperative BMI at follow-up was 33.6 (6.0) kg m(-2). After a mean follow-up of 56.1 (43.6) months, the mean weight loss was 35.2 (18.8) kg. Most patients (92.8%) reported problems with redundant skin, especially on the abdomen, upper arms and rear/buttocks, which impaired daily physical activity in half of them. Excess skin was associated with female gender (beta = -13.56, 95% confidence interval (CI)-16.81 to -10.32, p 20 kg m(-2) showed a significantly surplus skin discomfort compared to Delta BMI 20 kg m(-2) showed a significantly surplus skin discomfort compared to Delta BMI 20 kg m(-2) showed a significantly surplus skin discomfort compared to Delta BMI 20 kg m(-2) showed a significantly surplus skin discomfort compared to Delta BMI 50 kg showed a significantly redundant skin discomfort compared to weight loss 50 kg showed a significantly redundant skin discomfort compared to weight loss 50 kg showed a significantly redundant skin discomfort compared to weight loss 20 kg, not BMI alone, might be taken into consideration as cut-off values for developing score systems with the intention to apply evidence-based indications for the surgical management of post-bariatric impairments. (C) 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
Massive weight loss after bariatric surgery leads to excess skin with functional and aesthetic impairments. The aim of this study was to evaluate the prevalence of excess skin after bariatric surgery and identify any relationship with pre- and postoperative characteristics. A total of 360 patients who had undergone bariatric surgery procedures were asked to complete a questionnaire designed by the surgical team at least 1 year after surgery. This questionnaire was planned to estimate any impairment due to redundant skin, which was graded according to a visual analogue scale (VAS, 0--0). Mean (standard deviation, SD) age of 110 males and 250 females was 51.2 (10.8) years. Mean preoperative body mass index (BMI) was 45.7 (6.4) kg m(-2) and mean postoperative BMI at follow-up was 33.6 (6.0) kg m(-2). After a mean follow-up of 56.1 (43.6) months, the mean weight loss was 35.2 (18.8) kg. Most patients (92.8%) reported problems with redundant skin, especially on the abdomen, upper arms and rear/buttocks, which impaired daily physical activity in half of them. Excess skin was associated with female gender (beta = -13.56, 95% confidence interval (CI)-16.81 to -10.32, p 20 kg m(-2) showed a significantly surplus skin discomfort compared to Delta BMI 20 kg m(-2) showed a significantly surplus skin discomfort compared to Delta BMI 20 kg m(-2) showed a significantly surplus skin discomfort compared to Delta BMI 20 kg m(-2) showed a significantly surplus skin discomfort compared to Delta BMI 50 kg showed a significantly redundant skin discomfort compared to weight loss 50 kg showed a significantly redundant skin discomfort compared to weight loss 50 kg showed a significantly redundant skin discomfort compared to weight loss 20 kg, not BMI alone, might be taken into consideration as cut-off values for developing score systems with the intention to apply evidence-based indications for the surgical management of post-bariatric impairments. (C) 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
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