Papel del cirujano plástico en la obesidad mórbida: experiencia en dermolipectomía tras cirugía bariátrica / The role of the plastic surgeon in morbid obesity: our experience in dermolipectomies after bariatric surgery

La cirugía bariátrica ha demostrado ser en la actualidad el método más eficaz para conseguir grandes perdidas de peso estables. La mayor experiencia en este campo y el aumento del número de intervenciones realizadas, va creando una gran demanda de actuación por parte del cirujano plástico. Tras este tipo de cirugía se producen severas disminuciones de peso y del índice de masa corporal (IMC),lo que va a ocasionar grandes excedentes cutáneos Las dermolipectomías juegan un papel fundamental en la corrección de las deformidades estéticas, funcionales y psicológicas de estos pacientes, por lo que la Cirugía Plástica va a aportar una importante mejora en la calidad de vida y autoestima del paciente. En nuestra experiencia, se consiguen buenos resultados funcionales y estéticos, sin un elevado índice de complicaciones (AU)

Bariatric surgery has proven to be the most effective method for acquiring large and stable weight loss. A large amount of experience in this field, as well as an impressive number of interventions, has created a large demand for this specific surgery. After this type of surgery, massive weight loss, as well as BMI (Body Mass Index) decrease, can be observed. This, in turn, will lead to large amounts of loose redundant skin. Dermolipectomies play a fundamental role in the correction of aesthetic, functional and psychological deformities of these sickly individuals. It is therefore clear that Plastic Surgery will provide a serious improvement in the quality of life and self – esteem of the patient. In our experience, these procedures obtain good functional and aesthetic results, without and elevated number of complications (AU)

[Congenital short urethra: surgical treatment]. / Uretra corta congénita: tratamiento quirúrgico.

Presentation of 6 cases of congenitally short urethra seen in our Unit. The rarity of such malformation, as well as the difficulties to arrive to a presurgical diagnosis are emphasized. Also, review of surgical techniques described in the literature. Contribution of our experience in the use of the urethra's dissecting and elevating technique. We considered this the choice procedure except in extreme cases due to the good results obtained, fewer technical difficulties and lower risk of complications.