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Brachioplasty after massive weight loss: analyzing wound healing and risk factors for dehiscence


Autoři: C. D. Rojas Gutiérrez 1;  P. Carvallo Maiocco 1;  E. Zúñiga Garza 1;  M. Guitián González 1;  J. Said Haro Cruz 1;  F. S. Herrán Motta 2;  E. Camacho Quintero 3
Působiště autorů: Plastic Surgery Resident. Plastic, Aesthetic and Reconstructive Surgery Department, Centro Médico Nacional 20 de Noviembre, ISSSTE, Mexico City, Mexico 1;  Chief of Post-bariatric Reconstruction. Plastic, Aesthetic and Reconstructive Surgery Department, Centro Médico Nacional 20 de Noviembre, ISSSTE, Mexico City, Mexico 2;  Chief of Chronic Wound Care. Plastic, Aesthetic and Reconstructive Surgery Department, Centro Médico Nacional 20 de Noviembre, ISSSTE, Mexico City, Mexico 3
Vyšlo v časopise: ACTA CHIRURGIAE PLASTICAE, 67, 3, 2025, pp. 160-166
doi: https://doi.org/10.48095/ccachp2025160


Zdroje

1. Cabbabe SW. Plastic surgery after massive weight loss. Mo Med. 2016, 113 (3): 202–206.

2. ISAPS. ISAPS international survey on aesthetic/cosmetic procedures performed in 2021. [online]. Available from: https: //www.isaps.org/media/vdpdanke/isaps-global-survey_2021.pdf.

3. SciELO. Cirugía Plástica Ibero-Latinoamericana. 2023 [online]. Available from: https: //scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0376-78922016000100013&lng=es&nrm=iso&tlng=es.

4. Zomerlei TA., Neaman KC., Armstrong SD., et al. Brachioplasty outcomes: a review of a multipractice cohort. Plast Reconstr Surg. 2013, 131 (4): 883–889.

5. Marchica P., Bassetto F., Pavan C., et al. Retrospective analysis of the predictive factors associated with good surgical outcome in brachioplasty in massive weight loss patients. J Plast Surg Hand Surg. 2022, 56 (6): 326–334.

6. Aljerian A., Abi-Rafeh J., Ramirez-GarciaLuna J., et al. Complications in brachioplasty: a systematic review and meta-analysis. Plast Reconstr Surg. 2022, 149 (1): 83–95.

7. Orpheu SC., Coltro PS., Scopel GP., et al. Collagen and elastic content of abdominal skin after surgical weight loss. Obes Surg. 2010, 20 (4): 480–486.

8. Nguyen L., Gupta V., Afshari A., et al. Incidence and risk factors of major complications in brachioplasty: analysis of 2,294 patients. Aesthet Surg J. 2016, 36 (7): 792–803.

9. Duteille F., Kanlagna A., Bellier Waast F., et al. Brachioplasty and its complications. Ann Chir Plast Esthet. 2019, 64 (5–6): 686–693.

10. Romano L., Zoccali G., Orsini G., et al. Reducing complications in post-bariatric plastic surgery: our experience and literature review. Acta Biomed. 2019, 90 (4): 483–489.

11. Van Der Beek ESJ., Van Der Molen AM., Van Ramshorst B. Complications after body contouring surgery in post-bariatric patients: the importance of a stable weight close to normal. Obes Facts. 2011, 4 (1): 61–66.

12. Sandy-Hodgetts K. Clinical innovation: the Sandy grading system for surgical wound dehiscence classification –⁠ a new taxonomy. Wounds Int. 2017, 8 (4): 6–11.

13. Gusenoff JA., Coon D., Rubin JP. Brachioplasty and concomitant procedures after massive weight loss: a statistical analysis from a prospective registry. Plast Reconstr Surg. 2008, 122 (2): 595–603.

14. Han HH., Lee MC., Kim SH., et al. Upper arm contouring with brachioplasty after massive weight loss. Arch Plast Surg. 2014, 41 (3): 271–276.

15. Rincon-Rubio LL., Cemborain-Valarino M., Gil-Masroua BG., et al. Evaluation of histopathological changes secondary to bariatric surgery. Cir Plast Iberolatinoam. 2018, 44 (4): 379–387.

16. Light D., Arvanitis GM., Abramson D., et al. Effect of weight loss after bariatric surgery on skin and the extracellular matrix. Plast Reconstr Surg. 2010, 125 (1): 343–351.

17. Nahas FX., Aly AS. Abdominoplasty overview. In: Nahas FX., Aly AS. (eds). The art of body contouring: a comprehensive approach. New York: Thieme 2017.

18. Capella JF., Trovato MJ., Woehrle S. Upper limb contouring. In: Neligan PC., Rubin JP. (eds). Plastic surgery. Elsevier 2018.

19. Bossert RP., Dreifuss S., Coon D., et al. Liposuction of the arm concurrent with brachioplasty in the massive weight loss patient: is it safe? Plast Reconstr Surg. 2013, 131 (2): 357–365.

20. de Runz A., Colson T., Minetti C., et al. Liposuction-assisted medial brachioplasty after massive weight loss. Plast Reconstr Surg. 2015, 135 (1): 74e–84e.

21. Dowsett C., Hallern B. The triangle of wound assessment: a holistic framework from wound assessment to management goals and treatments. Wounds Int. 2017, 8 (4): 34–39.

Piero Carvallo Maiocco, MD

Av. San Lorenzo 502

Mexico City, Mexico

pierocarvallo@gmail.com

Submitted: 2. 8. 2025

Accepted: 3. 9. 2025

Štítky
Chirurgie plastická Ortopedie Popáleninová medicína Traumatologie

Článek vyšel v časopise

Acta chirurgiae plasticae

Číslo 3

2025 Číslo 3
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