Document Detail


Weight reduction following abdominoplasty: a retrospective case review pilot study.
MedLine Citation:
PMID:  23358019     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The question of whether or not abdominoplasty is associated with permanent weight reduction remains controversial. In coalition, should abdominoplasty be used as an adjunct for weight reduction in the overweight/obese patient?
METHODS: This retrospective patient case series attempts to determine the most important factors associated with weight reduction.
RESULTS: All patients undergoing abdominoplasty had weight loss beyond that of their resected pannus, with a minimum body mass index reached 11.6 ± 1.7 weeks after surgery. Weight loss is attributed to an increase in satiety by 75 percent (n = 15) of patients. Preoperative body mass index greater than or equal to 24.5 kg/m can be used to predict long-term weight loss with a sensitivity and specificity of 92.9 percent and 83.3 percent, respectively. Patients above this threshold achieved significantly more weight loss (-4.5 ± 1.4 percent body mass index) at 1 year compared with their lower body mass index counterparts (p = 0.014), as did those with pannus resections weighing greater than 4.5 lb (p = 0.01).
CONCLUSIONS: Abdominoplasty performed on patients with a body mass index greater than 24.5 kg/m appears to be linked to sustained weight loss at 1 year. Satiety appears to be a prominent contributing factor, as does the amount of fat resected. Possible neurocrine mechanisms are discussed.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
Authors:
Jennifer C Fuller; Catherine N Nguyen; Rex E Moulton-Barrett
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  131     ISSN:  1529-4242     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-29     Completed Date:  2013-04-01     Revised Date:  2014-10-13    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  238e-244e     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Abdominoplasty*
Humans
Pilot Projects
Retrospective Studies
Weight Loss*
Comments/Corrections
Comment In:
Plast Reconstr Surg. 2013 Aug;132(2):314e-316e   [PMID:  23897363 ]
Plast Reconstr Surg. 2013 Aug;132(2):316e-317e   [PMID:  23897364 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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