Palabras clave
Cirugía Bariátrica
Cirugía Plástica
Cómo citar
Copyright © | Todos los derechos reservados.
La revista posee los derechos de autor exclusivos para la publicación de este artículo en los términos de la ley brasileña 9610/98.
Reproducción parcial
El uso de partes de los textos, figuras y cuestionario del artículo es libre, siendo obligatoria la citación de los autores y revista.
Reproducción total
Está expresamente prohibido y debe ser autorizado por la revista.
Resumen
Objetivo: Evaluar causas de los cambios psicosociales que llevan a los pacientes posbariátricos a someterse a cirugía de contorno corporal. Métodos: Es una revisión integrativa de la literatura basada en la investigación en las bases de datos Portal Capes, Science Direct y Scientific Electronic Library Online (SciELO). Fueron usados los Descriptores de Ciencias de la Salud (DeCS): "Obesidad", "Cirugía Bariátrica" y "Cirugía Plástica" combinados mediante el operador booleano "AND". Se adoptaron los estudios que respondieron a la pregunta orientadora da revisión, publicados entre 2018 y 2022, en los idiomas: inglés o portugués y textos tipo artículo. Se eliminaron los estudios repetidos en más de una base de datos y aquellos que no seguían el tema central. Al final, se utilizaron 16 artículos. Resultados: Los hallazgos que indicaron cambios psíquicos en pacientes posbariátricas fueron: exceso de tejido graso, de piel y de mamas, trastorno de la imagen corporal, baja autoestima y depresión. Todo esto puede llevarlos a buscar cirugías de contorno corporal algún tiempo después de la cirugía bariátrica. Consideraciones finales: Los factores que provocan cambios psicosociales que llevan a los pacientes posbariátricos a someterse a cirugía de contorno corporal se relacionan con dos grandes grupos: el físico y el psíquico.
Referencias
BASCARANE S, et al. Psychiatric Assessment and Management of Clients Undergoing Cosmetic Surgery: Overview and Need for an Integrated Approach. Indian journal of plastic surgery, 2021; 54(1):8-19.
BENNETT KG, et al. Persistent Opioid Use and High-Risk Prescribing in Body Contouring Patients. Plast Reconstr Surg, 2019; 143(1): 87-96.
BRITO IM, et al. Abdominoplasty and Patient Safety: The Impact of Body Mass Index and Bariatric Surgery on Complications Profile. Aesth Plast Surg, 2020; 44:1615-1624.
BUER L, et al. Comparing bariatric surgery patients who desire, undergo, or do not desire body contouring surgery: a 5-year prospective study of body image and mental health. Obes Surg, 2022; 32:2952-2959.
CHRISTOPHER NA, et al. A comparative analysis of fleur-de-lis and traditional panniculectomy after bariatric surgery. Aesth Plast Surg, 2021; 45:2208-2219.
CINTRA JUNIOR W, et al. Post-bariatric body contouring surgery: analysis of complications in 180 consecutive patients. Revista do Colégio Brasileiro de Cirurgiões, 2021; 48.
DERDERIAN SC, et al. Body contouring in adolescents after bariatric surgery. Surgery for Obesity and Related Diseases, 2020a; 16(1):137-142.
DERDERIAN SC, et al. Excess skin problems among adolescents after bariatric surgery. Surgery for Obesity and Related Diseases, 2020b; 16(8):993-998.
EL ABD R, et al. Body contouring surgery improves weight loss after bariatric surgery: a systematic review and meta-analysis. Aesth Plast Surg, 2021; 45:1064-1075.
GEBRAN SG, et al. Panniculectomy at the time of bariatric surgery: a propensity score-matched analysis of outcomes in the MBSAQIP database. Surgery for Obesity and Related Diseases, 2021; 17(1):177-184.
GIULIANI NR, et al. Estudo prospectivo da resposta inflamatória em pacientes submetidas à abdominoplastia pós-cirurgia bariátrica. Revista Brasileira de Cirurgia Plástica, 2021; 36(2):129-133.
LAZZATI A, et al. Plastic surgery in bariatric patients: a nationwide study of 17,000 patients on the national administrative database. Surgery for Obesity and Related Diseases, 2018; 14(5):646-651.
MACEDO JLS de, et al. What Is the Impact of Residual Obesity on the Risk for Postoperative Body-Contouring Surgery Complications in Postbariatric Patients? OBES SURG, 2020; 30:4149–4154.
MACEDO JLS de, et al. The Impact of the Weight of Removed Tissue on the Development of Postoperative Complications in Patients Undergoing Abdominoplasty after Gastric Bypass. OBES SURG, 2021; 31:2324-2329.
MAROUF A e MORTADA H. Complications of Body Contouring Surgery in Postbariatric Patients: A Systematic Review and Meta-Analysis. Aesth Plast Surg, 2021; 45:2810-2820.
MATOS JC, et al. Contraste entre o tratamento cirúrgico da obesidade e cirurgias plásticas pós-bariátricas. Revista Brasileira de Cirurgia Plástica, 2022; 37(2).
OCKELL J, et al. Physical measurements and patients' perception of excess skin on the arms and thighs before and after bariatric surgery. Eur J Plast Surg, 2022; 45:631-640.
PARDO JC, et al. Searching for the Best Way to Assess the Risk of Thrombosis in Aesthetic Plastic Surgery; The Role of the Caprini/Pannucci Score. Aesthetic Plastic Surgery, 2019; 43(5):1387-1395.
PAUL MA, et al. The long-term effect of body contouring procedures on quality of life in morbidly obese patients after bariatric surgery. PLoS ONE, 2020; 15(2).
PROCZKO M, et al. Evolution of the body image perception of people with obesity on the pathway from bariatric surgery to body contouring lift surgery. Journal of Plastic, Reconstructive & Aesthetic Surgery, 2022; 75(2):860-869.
RHEMTULLA IA, et al. Improvement in racial disparity among patients undergoing panniculectomy after bariatric surgery. The American Journal of Surgery, 2019; 218(1):37-41.
ROSA SC, et al. Anthropometric and clinical profiles of post-bariatric patients submitted to procedures in plastic surgery. Revista do Colégio Brasileiro de Cirurgiões, 2018; 45.
ROSA SC, et al. What Is the Impact of Comorbidities on the Risk for Postoperative Body-Contouring Surgery Complications in Postbariatric Patients? Obesity Surgery, 2019; 29(2): 552-559.
SILVA GM da, et al. Obesidade como fator agravante da COVID-19 em adultos hospitalizados: revisão integrativa. Acta Paulista de Enfermagem, 2021; 34.
SOCIEDADE BRASILEIRA DE CIRURGIA BARIÁTRICA E METABÓLICA. Indicações ao paciente: Quem pode fazer? São Paulo, 2017. Disponível em: https://www.sbcbm.org.br/quem-pode-fazer/.
TONATTO FILHO AJ, et al. Dermolipectomias após procedimentos bariátricos no Sistema Público de Saúde: um longo caminho a percorrer. Revista Brasileira de Cirurgia Plástica, 2022; 37(1):53-59.
VINDIGNI V, et al. The Posterior Arm Flap for Reshaping the Postbariatric Breast. Plastic and reconstructive surgery, 2019; 7(9)