Abdominoplasty Essay

The surgical treatment of morbid obesity has increased in popularity with the advent of laparoscopic bariatric procedures [1]. After such dramatic weight loss, patients are left with redundant skin and subcutaneous tissue in the flanks and the lumbosacral regions [2]. This not only creates problems involving hygiene, but is also physically unattractive [3]. To address these issues, body contouring after bariatric surgery has become an integral part of the surgical treatment of the morbidly obese and has led to a dramatic rise in the number of abdominoplasty [4].
Abdominoplasty is the most required post-bariatric surgical procedure in patients of both sexes and at any age. Liposuction may be performed before the excision for better contouring
It takes several hours and is liable for serious complications, like thromboembolic events and wound complications. An accurate preoperative assessment is necessary to reduce the risk of these complications [7].
Torsoplasty, or lower body lift, is a demanding operation recommended when collapsing tissue caused by weight loss is circumferentially present [8]. It is carried out to correct, at one time, weight loss effects on abdomen, hips, gluteus, and lumbosacral regions. It is usually advocated to associate a lipoaspiration, in order to remodel body silhouette [9].
Based on the anatomic data from the study performed by Levy et al. [10], after gastric banding, a restrictive bariatric procedure, significant macroscopic alterations of the adipose tissue were found in all four areas they examined (epigastric, umbilical, hypogastric and lumbar regions). These alterations were loss of the superficial fascial system (with infiltration by white, atrophic, and hyperplastic adipose cells) and discontinuation of the areolar and lamellar layers.
The objective of this study is to delineate the histhopathological changes in the subcutaneous fatty layer in post bariatric patients and correlate them with post bariatric wound healing