Zusammenfassung
Indikationen für Abdominoplastiken sind häufig Schwangerschaften oder geringgradige Gewichtsschwankungen. Sowohl die stetig steigende Zahl der Patienten mit größerem Gewichtsverlust als auch die zunehmenden bariatrischen Operationen führen konsekutiv zu einem deutlichen Anstieg der körperformenden Eingriffe und stellen die plastischen Chirurgen vor immer neue Herausforderungen. Patienten nach starker Gewichtsreduktion präsentieren ausgesprochen variable Deformierungen im Bereich des unteren und oberen Rumpfes sowie der Extremitäten, welche individuell einer adäquaten Therapie zugeführt werden müssen. Prinzipiell stellt die Wiederherstellung des unteren Rumpfes den ersten Therapieschritt dar. Dabei stehen dem plastischen Chirurgen verschiedene Modifikationen einer Abdominoplastik mit unterschiedlichen Schnitt- und Narbenführungen und auch zirkuläre Straffungsoperationen zur Verfügung. Die grundsätzlichen Unterschiede und Indikationen der einzelnen Straffungsoperationen im Bereich des unteren Rumpfes sollten bekannt und das gesamte Spektrum für jeden einzelnen Fall anwendbar sein. Eine hohe postoperative Patientenzufriedenheit resultiert aus einer individuell angepassten Verfahrensauswahl, deren optimaler Durchführung mit entsprechend geringer Rate an Komplikationen und einer überdurchschnittlichen Patientenbetreuung.
Abstract
Indications for most forms of abdominoplasty are slight weight fluctuations or pregnancy. The steadily increasing number of patients with greater weight loss as well as the growing number of bariatric operations subsequently leads to a significant increase in body contouring procedures and places new challenges on plastic surgeons. After major weight loss patients present with extremely variable deformities in the lower and upper trunk as well as the extremities, which have to be treated individually with an appropriate procedure. The restoration of the lower trunk presents the first stage of the entire reconstruction process. The various modifications of abdominoplasty procedures with their various incision patterns and scar courses and the circumferential lower trunk dermatolipectomy represent advanced operations for every individual case. Plastic surgeons should be fully aware of differences and indications of every available procedure in the area of the lower trunk and should have the ability to offer the entire repertory for each individual deformity. A high postoperative patient satisfaction results from a customized procedure selection, the optimal implementation with a correspondingly low rate of complications and above-average patient care.
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Der korrespondierende Autor weist auf folgende Beziehungen hin: Berater der Ethicon Inc. und Ethicon Endo-Surgery USA.
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Richter, D., Stoff, A. Körperstraffungen. Chirurg 82, 797–806 (2011). https://doi.org/10.1007/s00104-011-2110-z
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DOI: https://doi.org/10.1007/s00104-011-2110-z