title: [Abdominoplasty complications: particularities of the post-bariatric patients within a 238 patients series].
abstract: BACKGROUND
  Obesity is one of the health issues that is recently worldwide increasing, as well as in France. Variety of procedures of bariatric surgery have been developed over the past decade and are performed for morbid obesity hence. The demand of plastic surgery increased for body contouring and reshaping after dramatic weight loss, in which the abdominoplasty is considered as one of the most common procedures. The purpose of this study is to clarify the differences between the post-bariatric patients and others, and their influence on the occurrence of complications following abdominoplasty.
  
  
  METHODS
  Retrospective study involving a group of post-abdominoplasty patients collected from the same center between January 2000 and December 2010.
  
  
  RESULTS
  Among 238 reviewed patients' files; 114 of them are post-bariatric patients, and 124 are non-bariatric patients. Several differences were found between these two groups of patients including the maximum BMI, BMI at the time of surgery, the rates of cardiovascular risk factors, and a longer operative time in the post-bariatric group. The complication rate in these patients was significantly higher (55.3% against 26.6%) with mainly healing problems. Major maximum weight, obesity at the time of surgery, long operative time and postoperative drainage system are all considered as risk factors, which carry high rate of complications.
  
  
  CONCLUSIONS
  It appears that abdominoplasty in post-bariatric patients requires specific care because of particularities inherent in this population.
authors.affiliation: Service de chirurgie plastique esthétique reconstructrice, chirurgie de la main, CHU Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France. Electronic address: Ludovic.lievain@chu-rouen.fr.
authors.forename: L
authors.initials: L
authors.lastname: Lievain
authors.affiliation: Service de chirurgie plastique esthétique reconstructrice, chirurgie de la main, CHU Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France. Electronic address: ghaniaktouf@hotmail.com.
authors.forename: A
authors.initials: A
authors.lastname: Aktouf
authors.affiliation: Service de chirurgie plastique esthétique reconstructrice, chirurgie de la main, CHU Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France. Electronic address: Isabelle.auquit-auckbur@chu-rouen.fr.
authors.forename: I
authors.initials: I
authors.lastname: Auquit-Auckbur
authors.affiliation: Service de chirurgie plastique esthétique reconstructrice, chirurgie de la main, CHU Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France. Electronic address: Dorothee.coquerel-beghin@chu-rouen.fr.
authors.forename: D
authors.initials: D
authors.lastname: Coquerel-Beghin
authors.affiliation: Service de chirurgie viscérale, CHU Charles Nicolle, 1, rue de Germont, 76031 Rouen, France. Electronic address: Michel.scotte@chu-rouen.fr.
authors.forename: M
authors.initials: M
authors.lastname: Scotte
authors.affiliation: Service de chirurgie plastique esthétique reconstructrice, chirurgie de la main, CHU Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France. Electronic address: Pierre-yves.milliez@chu-rouen.fr.
authors.forename: P-Y
authors.initials: PY
authors.lastname: Milliez
mesh_terms: D061645:Abdominoplasty / Q000009:adverse effects*; D000328:Adult; D050110:Bariatric Surgery; D015992:Body Mass Index; D005260:Female; D006801:Humans; D008297:Male; D061646:Operative Time; D011183:Postoperative Complications; D012189:Retrospective Studies; D012307:Risk Factors
keywords: Abdominoplastie; Abdominoplasty; Bariatric; Bariatrique; Complications; Dermolipectomie; Facteurs de risque; Post-bariatric; Post-bariatrique; Risk factors