title: The impact of reconstructive procedures following bariatric surgery on patient well-being and quality of life.
abstract: BACKGROUND
  Massive weight loss following bariatric surgery may lead to an excess of lax, overstretched skin, causing physical discomfort which may affect the patient's quality of life. Whereas the functional and aesthetic deformity is an expected result of massive weight loss, the role of the plastic surgeon in the multidisciplinary approach of the morbidly obese is still unclear. The purpose of the current study is to evaluate the results of reconstructive surgery following weight loss surgery, focusing on the impact on the physical and psycho-social well-being and quality of life of the patients.
  
  
  METHODS
  Out of a group of 465 patients, 61 patients underwent reconstructive surgery following weight loss surgery. In 43 respondents, the quality of life after reconstructive surgery was measured by the Obesity Psychological State Questionnaire. Patient satisfaction was evaluated.
  
  
  RESULTS
  Reconstructive surgery resulted in a significant improvement in quality of life in patients at a mean interval of 42 months between weight loss and reconstructive surgery. The most frequent procedures were abdominoplasty and breast reconstruction. The relative high complication rate of 27.9% was of no influence on quality of life and the majority of the patients (67%) were satisfied with reconstructive surgery.
  
  
  CONCLUSIONS
  This study shows that reconstructive surgery following weight loss after bariatric surgery results in a significant improvement in overall quality of life. Reconstructive surgery should be incorporated in the multidisciplinary care programme following weight loss surgery in the morbidly obese patient.
authors.affiliation: Department of Surgery, St. Antonius Hospital, Koekoekslaan 1, 3435 CM Nieuwegein, The Netherlands. e.van.beek@antonius.net
authors.forename: Eva S J
authors.initials: ES
authors.lastname: van der Beek
authors.forename: Wouter
authors.initials: W
authors.lastname: Te Riele
authors.forename: Tom F
authors.initials: TF
authors.lastname: Specken
authors.forename: Djamila
authors.initials: D
authors.lastname: Boerma
authors.forename: Bert
authors.initials: B
authors.lastname: van Ramshorst
mesh_terms: D050153:Abdominal Fat / Q000601:surgery; D000328:Adult; D005260:Female; D006801:Humans; D015187:Lipectomy; D008297:Male; D016462:Mammaplasty; D008875:Middle Aged; D009767:Obesity, Morbid / Q000523:psychology / Q000601:surgery; D017060:Patient Satisfaction; D011788:Quality of Life
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