LymphedemaV1, Ncbi, Merge, bibRecord, 003766

Does thighplasty for upper thigh laxity after massive weight loss require a vertical incision?

Identifieur interne : 003766 ( Ncbi/Merge ); précédent : 003765; suivant : 003767

Does thighplasty for upper thigh laxity after massive weight loss require a vertical incision?

Auteurs : Michele A. Shermak [États-Unis] ; Jessie Mallalieu ; David Chang

Source :

Aesthetic surgery journal [ 1527-330X ]

RBID : pubmed:19944997

Descripteurs français

KwdFr :
- Adulte, Adulte d'âge moyen, Cicatrisation de plaie (physiologie), Complications postopératoires (), Complications postopératoires (épidémiologie), Cuisse (), Facteurs de l'âge, Facteurs de risque, Facteurs sexuels, Femelle, Humains, Illustration médicale, Jeune adulte, Modèles logistiques, Mâle, Perte de poids (physiologie), Procédures chirurgicales dermatologiques, Procédures de chirurgie reconstructive (), Résultat thérapeutique.
MESH :
- physiologie : Cicatrisation de plaie, Perte de poids.
- épidémiologie : Complications postopératoires.
- Adulte, Adulte d'âge moyen, Complications postopératoires, Cuisse, Facteurs de l'âge, Facteurs de risque, Facteurs sexuels, Femelle, Humains, Illustration médicale, Jeune adulte, Modèles logistiques, Mâle, Procédures chirurgicales dermatologiques, Procédures de chirurgie reconstructive, Résultat thérapeutique.

English descriptors

KwdEn :
- Adult, Age Factors, Dermatologic Surgical Procedures, Female, Humans, Logistic Models, Male, Medical Illustration, Middle Aged, Postoperative Complications (epidemiology), Postoperative Complications (surgery), Reconstructive Surgical Procedures (methods), Risk Factors, Sex Factors, Thigh (surgery), Treatment Outcome, Weight Loss (physiology), Wound Healing (physiology), Young Adult.
MESH :
- epidemiology : Postoperative Complications.
- methods : Reconstructive Surgical Procedures.
- physiology : Weight Loss, Wound Healing.
- surgery : Postoperative Complications, Thigh.
- Adult, Age Factors, Dermatologic Surgical Procedures, Female, Humans, Logistic Models, Male, Medical Illustration, Middle Aged, Risk Factors, Sex Factors, Treatment Outcome, Young Adult.

Abstract

After massive weight loss (MWL), many patients present with concerns about skin excess and laxity. The thigh is one of the more complex regions to address in MWL patients because of the differing degree, location, and quality of skin excess and fatty tissue, as well as surgical risk factors.

DOI: 10.1016/j.asj.2009.09.001
PubMed: 19944997

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pubmed:19944997

Le document en format XML

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<author><name sortKey="Shermak, Michele A" sort="Shermak, Michele A" uniqKey="Shermak M" first="Michele A" last="Shermak">Michele A. Shermak</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Plastic Surgery, Johns Hopkins Bayview Medical Center, Baltimore, MD 21224, USA. masherma@jhmi.edu</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Mallalieu, Jessie" sort="Mallalieu, Jessie" uniqKey="Mallalieu J" first="Jessie" last="Mallalieu">Jessie Mallalieu</name>
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<author><name sortKey="Chang, David" sort="Chang, David" uniqKey="Chang D" first="David" last="Chang">David Chang</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
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<term>Dermatologic Surgical Procedures</term>
<term>Female</term>
<term>Humans</term>
<term>Logistic Models</term>
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<term>Medical Illustration</term>
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<term>Postoperative Complications (epidemiology)</term>
<term>Postoperative Complications (surgery)</term>
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<term>Risk Factors</term>
<term>Sex Factors</term>
<term>Thigh (surgery)</term>
<term>Treatment Outcome</term>
<term>Weight Loss (physiology)</term>
<term>Wound Healing (physiology)</term>
<term>Young Adult</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Cicatrisation de plaie (physiologie)</term>
<term>Complications postopératoires ()</term>
<term>Complications postopératoires (épidémiologie)</term>
<term>Cuisse ()</term>
<term>Facteurs de l'âge</term>
<term>Facteurs de risque</term>
<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Humains</term>
<term>Illustration médicale</term>
<term>Jeune adulte</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Perte de poids (physiologie)</term>
<term>Procédures chirurgicales dermatologiques</term>
<term>Procédures de chirurgie reconstructive ()</term>
<term>Résultat thérapeutique</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Reconstructive Surgical Procedures</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Cicatrisation de plaie</term>
<term>Perte de poids</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Weight Loss</term>
<term>Wound Healing</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Postoperative Complications</term>
<term>Thigh</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Complications postopératoires</term>
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<term>Age Factors</term>
<term>Dermatologic Surgical Procedures</term>
<term>Female</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Medical Illustration</term>
<term>Middle Aged</term>
<term>Risk Factors</term>
<term>Sex Factors</term>
<term>Treatment Outcome</term>
<term>Young Adult</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Complications postopératoires</term>
<term>Cuisse</term>
<term>Facteurs de l'âge</term>
<term>Facteurs de risque</term>
<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Humains</term>
<term>Illustration médicale</term>
<term>Jeune adulte</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Procédures chirurgicales dermatologiques</term>
<term>Procédures de chirurgie reconstructive</term>
<term>Résultat thérapeutique</term>
</keywords>
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<front><div type="abstract" xml:lang="en">After massive weight loss (MWL), many patients present with concerns about skin excess and laxity. The thigh is one of the more complex regions to address in MWL patients because of the differing degree, location, and quality of skin excess and fatty tissue, as well as surgical risk factors.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">19944997</PMID>
<DateCreated><Year>2009</Year>
<Month>11</Month>
<Day>30</Day>
</DateCreated>
<DateCompleted><Year>2010</Year>
<Month>03</Month>
<Day>22</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>10</Month>
<Day>20</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1527-330X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>29</Volume>
<Issue>6</Issue>
<PubDate><MedlineDate>2009 Nov-Dec</MedlineDate>
</PubDate>
</JournalIssue>
<Title>Aesthetic surgery journal</Title>
<ISOAbbreviation>Aesthet Surg J</ISOAbbreviation>
</Journal>
<ArticleTitle>Does thighplasty for upper thigh laxity after massive weight loss require a vertical incision?</ArticleTitle>
<Pagination><MedlinePgn>513-22</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.asj.2009.09.001</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">After massive weight loss (MWL), many patients present with concerns about skin excess and laxity. The thigh is one of the more complex regions to address in MWL patients because of the differing degree, location, and quality of skin excess and fatty tissue, as well as surgical risk factors.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The authors describe a technique called the anterior proximal extended (APEX) thighlift to effectively treat upper thigh skin excess with a hidden scar while also enhancing adjacent body regions.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A review was performed of 97 MWL patients who underwent thighlift surgery between March 1998 and October 2007. Eighty-six women and 11 men, with average weight loss of 146 lb and average body mass index (BMI) at contouring of 29.8, were included in the study. The risk factors that were assessed included age, gender, medical conditions, tobacco use, BMI, weight of skin excised, and surgery performed. The outcomes that were assessed included wound healing and lymphedema. Extended vertical thighlift was performed in 11 patients and anterior superior thighlift in 86 patients.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Complications of thighlift included wound healing problems (n = 18; 18.6%); lymphedema (n = 8; 8.3%); cellulitis (n = 7; 7.2%); seroma (n = 3; 3.1%); and bleeding (n = 1; 1%). On multivariate statistical analysis, age and BMI were found to impair healing in the entire thighlift group. For patients with a BMI greater than or equal to 35, the odds ratio (OR) for a wound healing complication was 13.7 (P = .03). Hypothyroidism was strongly associated with lymphedema, with an OR of 23 (P = .06). Extended thighlift trended toward lymphedema (OR = 16.7; P = .08).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Thighlift can be a satisfying procedure for both the patient and surgeon because it provides aesthetic improvement in terms of skin excess and laxity. The APEX thighlift is a new technique that expands upon those previously described in the literature to effectively treat upper thigh laxity with a hidden scar after MWL.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Shermak</LastName>
<ForeName>Michele A</ForeName>
<Initials>MA</Initials>
<AffiliationInfo><Affiliation>Division of Plastic Surgery, Johns Hopkins Bayview Medical Center, Baltimore, MD 21224, USA. masherma@jhmi.edu</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mallalieu</LastName>
<ForeName>Jessie</ForeName>
<Initials>J</Initials>
</Author>
<Author ValidYN="Y"><LastName>Chang</LastName>
<ForeName>David</ForeName>
<Initials>D</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
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<MedlineJournalInfo><Country>England</Country>
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<CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Aesthet Surg J. 2009 Nov-Dec;29(6):522-3</RefSource>
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<MeshHeading><DescriptorName UI="D062109" MajorTopicYN="Y">Dermatologic Surgical Procedures</DescriptorName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading><DescriptorName UI="D012737" MajorTopicYN="N">Sex Factors</DescriptorName>
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<MeshHeading><DescriptorName UI="D013848" MajorTopicYN="N">Thigh</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
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<MeshHeading><DescriptorName UI="D015431" MajorTopicYN="N">Weight Loss</DescriptorName>
<QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName>
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<MeshHeading><DescriptorName UI="D014945" MajorTopicYN="N">Wound Healing</DescriptorName>
<QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName>
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<name sortKey="Mallalieu, Jessie" sort="Mallalieu, Jessie" uniqKey="Mallalieu J" first="Jessie" last="Mallalieu">Jessie Mallalieu</name>
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<country name="États-Unis"><region name="Maryland"><name sortKey="Shermak, Michele A" sort="Shermak, Michele A" uniqKey="Shermak M" first="Michele A" last="Shermak">Michele A. Shermak</name>
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Does thighplasty for upper thigh laxity after massive weight loss require a vertical incision?

Does thighplasty for upper thigh laxity after massive weight loss require a vertical incision?

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki