The Impact of Protein Nutritional Supplementation for Massive Weight Loss Patients Undergoing Abdominoplasty.
Aesthet Surg J
; 36(2): 204-10, 2016 Feb.
Article
em En
| MEDLINE
| ID: mdl-26141674
ABSTRACT
BACKGROUND:
As more patients undergo bariatric surgery to assist with weight loss, the demand for post-bariatric body contouring surgery, to address both functional and aesthetic concerns, is increasing. However, high wound healing complication rates remain a significant problem for these patients. One theory is that chronic malnourishment and hypoproteinemia may contribute significantly to these wound healing complications.OBJECTIVE:
The purpose of this study was to determine the effect of pretreatment protein nutritional supplementation on wound healing in post-bariatric surgery massive weight loss patients undergoing abdominoplasty. Our hypothesis was that protein supplementation would decrease wound healing complications.METHODS:
A retrospective review was performed of 23 post-bariatric surgery patients undergoing abdominoplasty who received pretreatment protein nutritional supplementation. This group was compared with a historical control group of 23 post-bariatric surgery patients who underwent abdominoplasty in the period immediately before the implementation of the protein supplementation protocol. Patient demographics and procedural characteristics were similar for the two groups.RESULTS:
Forty-six patients were identified who had undergone abdominoplasty, half of whom were prescribed the protein supplementation protocol. Overall wound healing complication rates were significantly lower in the protein-supplemented group (0.0% vs. 21.8%, p = 0.04). There was no significant difference between the protein supplementation and historical control groups in regards to total complication rate.CONCLUSIONS:
Pretreatment protein supplementation is a simple intervention that can significantly decrease wound healing complications in post-bariatric surgery massive weight loss patients undergoing abdominoplasty. LEVEL OF EVIDENCE 4 Therapeutic.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Proteínas Alimentares
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Redução de Peso
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Suplementos Nutricionais
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Desnutrição
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Cirurgia Bariátrica
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Abdominoplastia
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Hipoproteinemia
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Obesidade
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Guideline
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Aesthet Surg J
Ano de publicação:
2016
Tipo de documento:
Article