ABSTRACT
The dependence of a hypercoagulation state occurrence from value of the adipose-cutaneous flap mass, excised while performing abdominoplasty, was established, using the logistic regression method, in patients, suffering the anterior abdominal wall cosmetic defects and obesity. The possibility the hypercoagulation state occurrence raises nonlinearly together with such of the excised flap mass (% EFM), it exceeds 50% (high risk of hypercoagulation occurrence), when the EFM value constitutes 5.1% of the body mass.
Subject(s)
Abdominal Wall/surgery , Obesity/surgery , Plastic Surgery Procedures/methods , Surgical Flaps/standards , Thrombophilia/prevention & control , Adult , Aged , Body Mass Index , Female , Fibrinogen/analysis , Humans , Male , Middle Aged , Plastic Surgery Procedures/adverse effects , Regression Analysis , Risk , Surgery, Plastic/adverse effects , Surgery, Plastic/methods , Thrombophilia/complicationsABSTRACT
The impact on a lipids metabolism of a certain volume of fat tissue extraction from organism was investigated. With that objective there was determined the lipids content in a blood serum before and on a 14th day after abdominoplasty. In 73 patients (the main group) surgical interventions were performed on the organs of abdominal cavity, small pelvis and anterior abdominal wall with a simultant abdominoplasty, in 59 patients (a comparison group) abdominoplasty was not performed. The lipids metabolism desorders was observed in both groups of patients. The results of operations, conducted with a simultant extraction of a fat tissue were characteristic for positive dynamics of the lipids spectre in the blood. A normalizing impact on the blood serum lipids was caused by a triglyceride depot volume reduction, which promotes a catabolism processes strengthening in atherogenic lipoproteins and stabilizes a nonesterified fat acids concentration on optimal level. The data obtained witness, that abdominoplasty conduction secures antiatherogenic affect in patients, suffering obesity.
Subject(s)
Abdominal Fat/metabolism , Abdominal Wall/surgery , Atherosclerosis/prevention & control , Lipid Metabolism , Obesity/surgery , Plastic Surgery Procedures/methods , Abdominal Fat/surgery , Abdominal Wall/pathology , Atherosclerosis/blood , Atherosclerosis/epidemiology , Case-Control Studies , Humans , Lipids/blood , Obesity/blood , Obesity/epidemiology , Obesity/metabolism , Treatment OutcomeABSTRACT
The modern tendencies of surgery development include not only the operative procedures improvement but guaranteeing also a maximally high level achievement in the patients quality of life in the early, as well as during remote, postoperative period. The quality of life analysis was done in 132 patients, operated on for the anterior abdominal wall defects, obesity and other surgical diseases, using special questionnaire SF-36. The patients have aged 23-65 years old, in all of them the excessive body mass or obesity of abdominal type was noted.
