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O papel da braquiplastia após perda ponderal massiva
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Introdução: A obesidade é a epidemia do mundo actual, exigindo tratamento multifactorial, com a cirurgia de contorno corporal a adquirir importância crescente no seu tratamento. Para correcção das deformidades do membro superior é utilizada a Braquiplastia. A par do Lifting das Coxas, é dos procedimentos com mais complicações, nomeadamente relacionadas com a cicatriz. Objectivo: Avaliar a segurança, eficácia e satisfação da Braquiplastia em doentes que sofreram perda massiva de peso. Material e Métodos: Estudámos os doentes que se apresentaram para a realização de cirurgia de contorno do membro superior, após perda massiva de peso, entre 2010 e 2017, no Serviço de Cirurgia Plástica e Reconstrutiva do Hospital de Santa Maria. Procedeu-se à avaliação destes, quanto aos dados demográficos, perda ponderal, número e tipo de cirurgias de contorno corporal, co-morbilidades, complicações e satisfação relativamente à cirurgia em estudo. Os dados em estudo foram obtidos através de livros de registo do Bloco Operatório, processos clínicos e entrevistas telefónicas. Resultados: Dos 182 doentes que realizaram cirurgia de contorno corporal após perda ponderal massiva, 13 foram submetidos a Braquiplastia constituindo o total da amostra.100% foram doentes do sexo feminino, com idade média de 49,5 anos. IMC à data da cirurgia 29,15 ± 5,06 kg/m2. 69,2% apresentou mais do que uma co-morbilidade. 38,5% submeteu-se a dois ou três procedimentos de contorno corporal. A Abdominoplastia, o Bodylift e a Mamoplastia foram os procedimentos mais procurados para iniciar o contorno corporal, seguindo-se a Braquiplastia (16,6%). 61,5% complicações locais, com predomínio da cicatriz hipertrófica e pequena deiscência (n=4). Satisfação global 80-90%. Intenção de recomendação situada nos 100%. Conclusão: A Braquiplastia é um procedimento seguro, eficaz e com excelentes resultados relativamente à satisfação dos doentes, devendo integrar o tratamento da obesidade. Não obstante, será importante aumentar o tamanho da amostra de forma a obter dados significativos, e ainda desenvolver escalas objectivas e validadas para avaliação da Satisfação e Qualidade de Vida.
Introduction: Obesity has become, nowadays, the world’s epidemic, requiring multifactorial treatment, with body contouring surgery acquiring increasing importance in its treatment. Brachioplasty is used to correct upper limb deformities. Along with thighs lifting, brachioplasty is the procedure with more complications, mainly related to the scar. Objective: Evaluate the safety, efficacy and satisfaction of Brachioplasty in patients who have suffered massive weight loss. Material and Methods: We studied patients who underwent upper limb contouring surgery after massive weight loss between 2010 and 2017 at the “Serviço de Cirurgia Plástica e Reconstrutiva do Hospital de Santa Maria”. Weight loss, number and type of body contouring surgeries, comorbidities, complications and satisfaction with the surgery under study were evaluated. The data under study was obtained through the operating room registry books, clinical processes and telephonic interviews. Material and Methods: We studied patients who underwent upper limb contouring surgery after massive weight loss between September 2010 and September 2017 at the “Serviço de Cirurgia Plástica e Reconstructiva do Hospital de Santa Maria”. The data under study were obtained through the operating room registry books, clinical processes and telephonic interviews. The population undergoing brachioplasty was evaluated at either the demographic, efficacy, safety or satisfaction level. Results: Of the 182 patients who underwent body contouring surgery after massive weight loss, 13 underwent Brachioplasty constituting the total sample. 100% were female patients, with a mean age of 49.5 years. BMI at the time of surgery 29.15±5.06 kg/m2. 69.2% presented more than one co-morbidity. 38.5% underwent two or three body contouring procedures. Abdominoplasty, Bodylift and Mamoplasty were the preferred procedures to initiate body contouring, followed by Brachioplasty (16.6%). 61.5% local complications, with predominance of hypertrophic scar and small dehiscence (n = 4). Global satisfaction 80-90%. Intention of recommendation located at 100%. Conclusion: Brachioplasty is a safe, effective and excellent procedure regarding patients' satisfaction and should be part of obesity’s treatment. Nevertheless, it would be important to increase the sample size in order to obtain significant data and also to develop objective and validated scales for the evaluation of Satisfaction and Life’s Quality.
Introduction: Obesity has become, nowadays, the world’s epidemic, requiring multifactorial treatment, with body contouring surgery acquiring increasing importance in its treatment. Brachioplasty is used to correct upper limb deformities. Along with thighs lifting, brachioplasty is the procedure with more complications, mainly related to the scar. Objective: Evaluate the safety, efficacy and satisfaction of Brachioplasty in patients who have suffered massive weight loss. Material and Methods: We studied patients who underwent upper limb contouring surgery after massive weight loss between 2010 and 2017 at the “Serviço de Cirurgia Plástica e Reconstrutiva do Hospital de Santa Maria”. Weight loss, number and type of body contouring surgeries, comorbidities, complications and satisfaction with the surgery under study were evaluated. The data under study was obtained through the operating room registry books, clinical processes and telephonic interviews. Material and Methods: We studied patients who underwent upper limb contouring surgery after massive weight loss between September 2010 and September 2017 at the “Serviço de Cirurgia Plástica e Reconstructiva do Hospital de Santa Maria”. The data under study were obtained through the operating room registry books, clinical processes and telephonic interviews. The population undergoing brachioplasty was evaluated at either the demographic, efficacy, safety or satisfaction level. Results: Of the 182 patients who underwent body contouring surgery after massive weight loss, 13 underwent Brachioplasty constituting the total sample. 100% were female patients, with a mean age of 49.5 years. BMI at the time of surgery 29.15±5.06 kg/m2. 69.2% presented more than one co-morbidity. 38.5% underwent two or three body contouring procedures. Abdominoplasty, Bodylift and Mamoplasty were the preferred procedures to initiate body contouring, followed by Brachioplasty (16.6%). 61.5% local complications, with predominance of hypertrophic scar and small dehiscence (n = 4). Global satisfaction 80-90%. Intention of recommendation located at 100%. Conclusion: Brachioplasty is a safe, effective and excellent procedure regarding patients' satisfaction and should be part of obesity’s treatment. Nevertheless, it would be important to increase the sample size in order to obtain significant data and also to develop objective and validated scales for the evaluation of Satisfaction and Life’s Quality.
Descrição
Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2018
Palavras-chave
Cirurgia plástica e reconstrutiva Perda massiva de peso Contorno corporal Braquiplastia