Safety first: precautions for the massive weight loss patient.
A significant increase in bariatric procedures has led to success in maintaining long-term weight loss. The increasing population of patients who have lost massive amounts of weight also has led to a growing responsibility placed on body-contouring surgeons to perform safe and cautious procedures in this inherently difficult patient population. We stratify risk groups and present several case reports and a systematic review of safety precautions. The risks and complications of body contouring can be minimized by a team approach with a meticulous attention to patient evaluation, preoperative planning, safe detailed operative measures, and thorough postoperative care.
Davison
Steven P
SP
Department of Plastic Surgery, Georgetown University Medical Center, 3800 Reservoir Road NW, Washington DC, 20007, USA.
Clemens
Mark W
MW
D019072:Antibiotic Prophylaxis; D062109:Dermatologic Surgical Procedures; D048909:Diabetes Complications; D006801:Humans; D007035:Hypothermia / Q000517:prevention & control; D017053:Infection Control; D044342:Malnutrition / Q000150:complications; D018579:Patient Selection; D011655:Pulmonary Embolism / Q000517:prevention & control; D019651:Plastic Surgery Procedures / Q000379:methods*; D012449:Safety; D020246:Venous Thrombosis / Q000517:prevention & control; D015431:Weight Loss