title: [Complications and level of satisfaction after dermolipectomy and abdominoplasty post-bariatric surgery].
abstract: BACKGROUND
  Body contouring surgery is in high demand following the increase in bariatric surgery. But these types of procedures are associated with high complication rates that cause long hospital stays and have a negative effect on patient satisfaction. The purpose of this study is to identify predictors of complications in order to optimize outcomes in these patients and find a relationship between complication rate and satisfaction.
  
  
  METHODS
  Out of a group of 175 post-bariatric patients, 72 patients underwent body contouring surgery following massive weight loss from 2003-2008. They were reviewed retrospectively for demographic data, pre- and postoperative weight status, co-morbidities and complications and reoperation rate. Patient satisfaction was evaluated.
  
  
  RESULTS
  a)
  
  
  RESULTS
  The overall complication rate was 45.8%. The most frequent were seromas (23.6%); infection (13.9%), bleeding (11.1%), hematoma (6.9%) (needing transfusions [6.9%]), skin necrosis (6.9%) and umbilical necrosis (4.2%). A total of 8 patients required reoperation (11.1%). b) Satisfaction rating: 1) very satisfied: 51.4%, 2) satisfied: 31.9%, 3) dissatisfied: 8.3%, 4) very dissatisfied: 8.3%. c) The presence of complications was significantly associated with patients' satisfaction, reoperation rate and longer hospital stays (P<.001).
  
  
  CONCLUSIONS
  Post operative complications were frequent. No predictors could be found to prevent these complications and optimize patient selection and appropriate timing of surgery. Patients with complications had a significantly higher reoperation rate, longer hospital stay and more dissatisfaction. The patients' satisfaction was negatively influenced by complication occurrence and not by the aesthetic results.
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Morales Meseguer, Murcia, España. Electronic address: mlgrgr@gmail.com.
authors.forename: María Luisa
authors.initials: ML
authors.lastname: García-García
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Morales Meseguer, Murcia, España.
authors.forename: Juan Gervasio
authors.initials: JG
authors.lastname: Martín-Lorenzo
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Morales Meseguer, Murcia, España.
authors.forename: Alvaro
authors.initials: A
authors.lastname: Campillo-Soto
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Morales Meseguer, Murcia, España.
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Torralba-Martínez
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Morales Meseguer, Murcia, España.
authors.forename: Ramón
authors.initials: R
authors.lastname: Lirón-Ruiz
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Morales Meseguer, Murcia, España.
authors.forename: Joana
authors.initials: J
authors.lastname: Miguel-Perelló
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Morales Meseguer, Murcia, España.
authors.forename: Mónica
authors.initials: M
authors.lastname: Mengual-Ballester
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Morales Meseguer, Murcia, España.
authors.forename: José Luis
authors.initials: JL
authors.lastname: Aguayo-Albasini
mesh_terms: D061645:Abdominoplasty / Q000009:adverse effects*; D000328:Adult; D050110:Bariatric Surgery; D005260:Female; D006801:Humans; D015187:Lipectomy / Q000009:adverse effects* / Q000379:methods; D008297:Male; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies
keywords: Abdominoplastia; Body contouring surgery; Calidad de vida; Complicaciones; Complications; Obesidad; Obesity; Quality of life