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The Egyptian Journal of Plastic and Reconstructive Surgery
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Zahra, T., Zeina, A., Shebl, A., Khatter, A., Elhadidy, M. (2020). Evaluation of the Abdominal Wall Vasculature in Post Bariatric Abdominoplasty: Anatomical and Pathological Study. The Egyptian Journal of Plastic and Reconstructive Surgery, 44(2), 245-251. doi: 10.21608/ejprs.2020.112459
Tarek Zahra; Ahmed Zeina; Abdelhadi Mohamed Shebl; Amr Mohamed Khatter; Mohamed Radwan Elhadidy. "Evaluation of the Abdominal Wall Vasculature in Post Bariatric Abdominoplasty: Anatomical and Pathological Study". The Egyptian Journal of Plastic and Reconstructive Surgery, 44, 2, 2020, 245-251. doi: 10.21608/ejprs.2020.112459
Zahra, T., Zeina, A., Shebl, A., Khatter, A., Elhadidy, M. (2020). 'Evaluation of the Abdominal Wall Vasculature in Post Bariatric Abdominoplasty: Anatomical and Pathological Study', The Egyptian Journal of Plastic and Reconstructive Surgery, 44(2), pp. 245-251. doi: 10.21608/ejprs.2020.112459
Zahra, T., Zeina, A., Shebl, A., Khatter, A., Elhadidy, M. Evaluation of the Abdominal Wall Vasculature in Post Bariatric Abdominoplasty: Anatomical and Pathological Study. The Egyptian Journal of Plastic and Reconstructive Surgery, 2020; 44(2): 245-251. doi: 10.21608/ejprs.2020.112459

Evaluation of the Abdominal Wall Vasculature in Post Bariatric Abdominoplasty: Anatomical and Pathological Study

Article 3, Volume 44, Issue 2, April 2020, Page 245-251  XML PDF (9.69 MB)
Document Type: Research article
DOI: 10.21608/ejprs.2020.112459
View on SCiNiTO View on SCiNiTO
Authors
Tarek Zahra* 1; Ahmed Zeina2; Abdelhadi Mohamed Shebl3; Amr Mohamed Khatter2; Mohamed Radwan Elhadidy2
1The Departments of Plastic & Reconstructive Surgery , Faculty of Medicine, Mansoura University
2The Departments of Plastic & Reconstructive Surgery, Faculty of Medicine, Mansoura University
3The Departments of Pathology Faculty of Medicine, Mansoura University
Abstract
Following bariatric surgery, the body contouring had a
crucial role in achieving a satisfactory result for the patients.
Hematoma and bleeding are higher in post bariatric patients
probably due to prolonged protein and vitamins deficiencies
and deficient clotting factors. The study subjects were divided
equally into three groups, each group contains 5 patients,
where; group A: Included patients with BMI 25-30 with history
of bariatric surgery in the past two years after at least six
months of stable weight, group B: Included patients with BMI
25-30 with no history of weight loss or bariatric surgery and
group C: Included patients with BMI more than 30 with no
history of weight loss or bariatric surgery. Tissue specimen
from the lower abdomen including superficial epigastric artery
and vein with fat sent for pathological examination. The mean
superficial inferior epigastric artery diameter was 1.7mm in
group A, 1.4mm in group B and 1.6mm in group C. The mean
thickness of inferior epigastric artery thickness was 92.242um
in group A, 104.032um in group B and a mean of 106.038um
in group C. WE have two measurements the diameter and the
wall thickness. The mean superficial inferior epigastric vein
diameter was 2.9mm in group A, 2mm in group B and 2.9mm
in group C. The mean thickness of inferior epigastric vein
thickness was 34.442um in group A, 42.94um in group B and
a mean of 67.99um in group C. In postbaiatric patients it was
noticed intraoperatively that the blood vessels were dilated,
friable so it need more meticulous hemostasis.
Keywords
Abdominoplasty; Bariatric surgery; Obesity; Superficial epigastric
Main Subjects
Aesthetics
References
Scaglione R., Di Chiara T., Cariello T., et al.: Visceral
obesity and metabolic syndrome: Two faces of the same
medal? Intern. Emerg. Med., 5: 111-119, 2010.
2- Van Gaal L.F., Mertens I.L. and De Block C.E.: Mechanisms
linking obesity with cardiovascular disease. Nature,
Vol. 4; (44): 875-880, 2006.
3- Rosa S.C., de Macedo J.L.S., Canedo L.R. and Casulari
L.A.: Quality of life and predictive factors for complications
in patients undergoing abdominoplasty after gastric
bypass: A retrospective cohort. Surgery for Obesity and
Related Diseases, Vol. 15, (3): 447-455, 2019.
Egypt, J. Plast. Reconstr. Surg., April 2020 251
4- Sjöström L., Peltonen M., Jacobson P., et al.: Bariatric
surgery and long-term cardiovascular events. JAMA, 307:
56-65, 2012.
5- World Health Organisation. Obesity and overweight.
Available from: URL: http://www.who.int/en/newsroom/
fact-sheets/detail/obesity-and-overweight. [Last
accessed on 7 Aug 2018].
6- González-Muniesa P., Mártinez-González M.A., Hu F.B.,
Després J.P., Matsuzawa Y., Loos R.J.F., Moreno L.A.,
Bray G.A., Martinez J.A.: Obesity. Nat. Rev. Dis. Primers,
3: 17034, 2017.
7- Bray G.A., Frühbeck G., Ryan D.H. and Wilding J.P.H.:
Management of obesity. Lancet, 387: 1947-56, 2016.
8- AWMF online. S3-Leitlinie: Chirurgie der Adipositas und
metabolischer Erkrankungen. Available from: http://
www.awmf.org/uploads/tx_szleitlinien/088-
001m_S3_Chirurgie-Adipositas-metabolische-
Erkrankugen_2018-02.pdf. Last accessed on 7 Aug., 2018.
9- Bays H.E., Laferrere B., Dixon J., et al.: Adiposopathy
and bariatric surgery: Is 'sick fat' a surgical disease? Int.
J. Clin. Pract., 63: 1285-1300, 2009.
10- Datta G., Cravero L., Margara A., et al.: The plastic
surgeon in the treatment of obesity. Obes. Surg., 16 (1):
5-11, 2006.
11- Cintra W.Jr., Modolin M.L., Gemperli R., et al.: Quality
of life after abdominoplasty in women after bariatric
surgery. Obes. Surg., 18 (6): 728-32, 2008.
12- Bota O., Schreiber M., Bönke F., Teather D. and Dragu
A.: Wound healing in postbariatric body contouring surgery.
Plast. Aesthet. Res., 5: 30, 2018.
13- Giordano S., Kangas R., Veräjänkorva R. and Koskivuo
I.: Ligasure impact™ might reduce blood loss, complications,
and re-operation occurrence after abdominoplasty
in massive-weight-loss patients: A Comparative Study.
Scandinavian Journal of Surgery, 1-8. 2019.
14- Montano-Pedroso J.C., Garcia E.B., Omonte I.R., Rocha
M.G. and Ferreira L.M.: Hematological variables and
iron status in abdominoplasty after bariatric surgery. Obes.
Surg., 23 (1): 7-16. 2013.
15- Kitzinger H.B., Cakl T., Wenger R., Hacker S., Aszmann
O.C. and Karle B.: Prospective study on complications
following a lower body lift after massive weight loss. J.
Plast. Reconstr. Aesthet. Surg., 66: 231-8. 2013.
16- Wunsch R., de Sousa G., Toschke A.M., Reinehr T.:
Intima-media thickness in obese children before and after
weight loss. Pediatrics, 118 (6): 2334-40, 2006.
17- Jin Y., Kim D., Cho J., Lee I., Choi K., et al.: Association
between Obesity and Carotid Intima-Media Thickness in
Korean Office Workers: The Mediating Effect of Physical
Activity. BioMed Research International, Vol. 2018;
(4285038): 1-10, 2018.
18- Lamotte C., Iliescu C., Libersa C. and Gottrand F.: Increased
intima-media thickness of the carotid artery in
childhood: A systematic review of observational studies.
European Journal of Pediatrics, Vol. 170; (6): 719-729.
2011.
19- Wang Y., Ma X., Zhou M., et al.: Contribution of visceral
fat accumulation to carotid intima-media thickness in a
Chinese population. Int. J. Obes. (Lond), 36 (9): 1203-
8. 2012.
20- Van der Beek E.S., van der Molen A.M. and van Ramshorst
B.: Complications after body contouring surgery in postbariatric
patients: The importance of a stable weight close
to normal. Obes. Facts, 4: 61-66. 2011.
21- Staalesen T., Olsén M.F. and Elander A.: Complications
of abdominoplasty after weight loss as a result of bariatric
surgery or dieting/postpregnancy. J. Plast. Surg. Hand
Surg., 46: 416-420, 2012.
22- Greco J.A., Castaldo E.T., Nanney L.B., et al.: The effect
of weight loss surgery and body mass index on wound
complications after abdominal contouring operations.
Ann. Plast. Surg., 61: 235-242, 2008.
23- Agha-Mohammadi S. and Hurwitz D.J. Enhanced recovery
after body-contouring surgery: Reducing surgical complication
rates by optimizing nutrition. Aesthetic Plast. Surg.,
34: 617-625, 2010.
24- Hasanbegovic E. and Sorensen J.A.: Complications following
body contouring surgery after massive weight
loss: A meta-analysis. J. Plast. Reconstr. Aesthet. Surg.,
67: 295-301, 2014.
25- Naghshineh N., O'Brien Coon D., McTigue K., et al.:
Nutritional assessment of bariatric surgery patients presenting
for plastic surgery: A prospective analysis. Plast.
Reconstr. Surg., 126: 602-610, 2010.
26- Agha-Mohammadi S. and Hurwitz D.J.: Nutritional deficiency
of post-bariatric surgery body contouring patients:
What every plastic surgeon should know. Plast. Reconstr.
Surg., 122: 604-613, 2008.
27- Grignaffini E., Grieco M.P., Bertozzi N., Raposio E., et
al.: Post-bariatric abdominoplasty: Our experience. Acta.
bio-medica: Atenei Parmensis., 86 (3): 278-282, 2015.
28- Light D., Arvanitis G.M., Abramson D. and Glasberg
S.B.: Effect of weight loss after bariatric surgery on skin
and the extracellular matrix. Plast. Reconstr. Surg., 125
(1): 343-51, 2010.
29- Lee Y.C., Chang H.H. and Chiang C.L.: Role of perivascular
adipose tissue-derived methyl palmitate in vascular
tone regulation and pathogenesis of hypertension. Circulation,
124: 1160-1171, 2011.
30- Aghamohammadzadeh R., Greenstein A.S., Yadav R., et
al.: Effects of bariatric surgery on human small artery
function: Evidence for reduction in perivascular adipocyte
inflammation, and the restoration of normal anticontractile
activity despite persistent obesity. J. Am. Coll. Cardiol.,
62 (2): 128-135, 2013.

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