Modern medicine has had the capacity, coherence and responsibility for identifying obesity as a systemic disease. By the large amount of added risks and its huge social step, obesity is considered one of the worst crises in global health. Your treatment is multidisciplinary and its main focus is the reducacion feeding and habits of the patient, however, the mainstay of treatment in morbid obesity patients is bariatric surgery. Born in the year of 1954 with the short yeyunoileal or intestinal bypass, with the primary purpose of reducing weight in patients refractory to medical treatment. Since then it has evolved quickly to become a procedure less invasive and safe.
Loss weight weight and in short periods of time make losing the subcutaneous, leading to sagging fat reserves. This sagging but improves with treatment non-invasive is not solved completely in the majority of cases. These excess skin treatment requires the patient and the surgeon make adjustments of as in the case of a good tailor hide the scar for aesthetic results.
Without a doubt the correct indication is the key to success for the treatment. Each body area should be evaluated individually and the patient must understand that, in most cases, you may need more than one procedure. Another fundamental thing is the compression of the presence of scars. Optimal only after six months with a stable weight and nutritional status, with their proper suplementarion surgery can be discussed. The key word of the surgical indication is to remodel, this is a mission that must be addressed with teamwork and discipline.
Although the technique depends on body area to grosso mode what has been done is a dermolipeptomia (removal of skin, subcutaneous tissue and FAT). Each area to be treated must be prepared before to ensure that no retired tissue less nor more. It is recommended not to treat the limbs in a way simultaneously, trying the abdomen is usually necessary a plication of the abdominal muscles. The use of silicone plates help to leave a scar more aesthetic.
There are different types of designs of and formats for the removal of the tissue surplus. The use of molds often facilitates the work. It is our experience each setting should be milimetrico and we are forced to say that some patients need revisions.
One of the major complications of this procedure is local infections, as often with intent to hide the scar cut is performed in crease areas such as the Axilla and inguinal area. Another relatively common complication are the dehiscence of the suture, this is particularly common in patients who do not have adequate nutritional control or which do not maintain recommended rest.
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