title: Patient Versus Surgeon Preferences Between Traditional and Neo-omphaloplasty in Post-bariatric Abdominoplasty.
abstract: BACKGROUND
  Abdominoplasty procedures have been proven highly valuable in promoting better quality of life for post-bariatric surgery patients. The literature reveals that the aspect of the navel is one of the most problematic issues regarding surgical results and many different surgical techniques have been proposed to obtain a satisfactory outcome. However, little is known about patients' preferences regarding these different techniques and their results. The aim of the present study was to compare evaluations made by plastic surgeons and patients of the results of two different techniques-traditional omphaloplasty and neo-omphaloplasty with lateral flaps.
  
  
  METHODS
  Five plastic surgeons analyzed postoperative pictures of 54 post-bariatric abdominoplasties performed between 2008 and 2013 at the Unicamp Hospital. Pictures of 12 cases were selected and evaluated by 50 patients waiting for a post-bariatric abdominoplasty. A standardized scale was used that contained the following criteria: volume of the abdomen, lateral contour, quality of the scars, umbilicus and skin excess/flaccidity.
  
  
  RESULTS
  Surgeons gave the highest scores to 71.6% of neo-omphaloplasty cases and patients to 43.7%. Both surgeons and patients graded navels operated on using this technique higher, although the comparison was not statistically significant for patient evaluations (p = 0.062). The navel aspect was considered the fourth most relevant aspect among those evaluated.
  
  
  CONCLUSIONS
  Neo-omphaloplasty results were considered better than traditional omphaloplasty for surgeons and patients, although there was not a clear differentiation of results by the latter. The navel postoperative aspect was considered secondarily important by patients to the results of post-bariatric abdominoplasties.
  
  
  METHODS
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authors.affiliation: Division of Plastic Surgery, Department of Surgery, Faculty of Medical Sciences, University of Campinas, Rua Tessália Vieira de Camargo, 126, Cidade Universitária "Zeferino Vaz", Cx. Postal 6111, Campinas, SP, CEP 13083-887, Brazil.
authors.forename: Maria Gabriela Bonilha
authors.initials: MG
authors.lastname: Vallim
authors.affiliation: Division of Plastic Surgery, Department of Surgery, Faculty of Medical Sciences, University of Campinas, Rua Tessália Vieira de Camargo, 126, Cidade Universitária "Zeferino Vaz", Cx. Postal 6111, Campinas, SP, CEP 13083-887, Brazil. davicalderoni@yahoo.com.br.
authors.forename: Davi Reis
authors.initials: DR
authors.lastname: Calderoni
authors.affiliation: Division of Plastic Surgery, Department of Surgery, Faculty of Medical Sciences, University of Campinas, Rua Tessália Vieira de Camargo, 126, Cidade Universitária "Zeferino Vaz", Cx. Postal 6111, Campinas, SP, CEP 13083-887, Brazil.
authors.forename: Marco Antonio Camargo
authors.initials: MA
authors.lastname: Bueno
authors.affiliation: Division of Plastic Surgery, Department of Surgery, Faculty of Medical Sciences, University of Campinas, Rua Tessália Vieira de Camargo, 126, Cidade Universitária "Zeferino Vaz", Cx. Postal 6111, Campinas, SP, CEP 13083-887, Brazil.
authors.forename: Marcos Matias
authors.initials: MM
authors.lastname: Motta
authors.affiliation: Division of Plastic Surgery, Department of Surgery, Faculty of Medical Sciences, University of Campinas, Rua Tessália Vieira de Camargo, 126, Cidade Universitária "Zeferino Vaz", Cx. Postal 6111, Campinas, SP, CEP 13083-887, Brazil.
authors.forename: Rafael de Campos Ferreira
authors.initials: RC
authors.lastname: Basso
authors.affiliation: Division of Plastic Surgery, Department of Surgery, Faculty of Medical Sciences, University of Campinas, Rua Tessália Vieira de Camargo, 126, Cidade Universitária "Zeferino Vaz", Cx. Postal 6111, Campinas, SP, CEP 13083-887, Brazil.
authors.forename: Paulo
authors.initials: P
authors.lastname: Kharmandayan
mesh_terms: D061645:Abdominoplasty / Q000379:methods*; D000328:Adult; D050110:Bariatric Surgery / Q000009:adverse effects / Q000379:methods*; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D004954:Esthetics; D005260:Female; D006801:Humans; D015187:Lipectomy / Q000379:methods*; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery; D015588:Observer Variation; D057240:Patient Preference; D010819:Physician's Role; D012189:Retrospective Studies; D018570:Risk Assessment; D016896:Treatment Outcome; D014472:Umbilicus / Q000601:surgery*; D015431:Weight Loss; D055815:Young Adult
keywords: Abdominoplasty; Bariatric surgery; Outcome assessment; Patient satisfaction; Umbilicus