Abdominoplasty in Morbidly Obese Patients , Benefits and Risks Is it Valuable ?

Background: Obesity is a growing problem worldwide, with morbidly obese patients frequently presenting with redundant panniculus causing physical, social, and emotional problems. Functional abdominoplasty may be offered for those patients who refused bariatric surgery to alleviate these problems. Controlling co-morbid diseases and risk factors was done to decrease risks of abdominoplasty. Purpose: The objective of this article is to evaluate the effectiveness, benefits, and risks of abdominoplasty in morbidly obese patients on a functional basis. Patients and Methods: 19 patients included in this study, 7 males and 12 females from February 2012 to March 2014. They were underwent abdominoplasty after strict controlling of co-morbid diseases and risk factors and the results were evaluated in light of the incidence of complications and a questionnaire measuring subjective opinions about postoperative improvements. Results: 19 patients (7 males and 12 females) were included. Their age ranged from 33 to 56 years. Their (BMI) ranged from 35 to 51 kgm2. Their panniculus ranged from grade 2 to 4. All the patients were satisfied by their improvements in life style, psychological status, and sexual activities. There were 2 patients with seroma, 2 patients with wound infection, 3 patients with major flap necrosis and 5 patients with delayed wound healing. Conclusion: Morbid obesity should not preclude abdominoplasty. On the contrary, the patients benefit in many ways from the operation. Strict controlling of co-morbid diseases and risk factors is a preoperative requisite to decrease the incidence of complications.

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