Techniques for Abdominoplasty After Massive Weight Loss

Karolinska University Hospital

Overview

Excess skin on the abdomen is a common problem for many individuals after massive weight loss. The surgical procedure of abdominoplasty is intended to remove excess skin and improve the shape of the torso in abdomen, in order to address issues such as skin fold eczema, difficulties finding clothing, and psychosocial issues. The investigators will conduct a randomized, controlled trial where individuals with excess skin on the abdomen will be randomized to either standard abdominoplasty or abdominoplasty in combination with liposuction. The investigators will examine the rate of complications, and the functional and aesthetical outcomes of the two methods.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Conditions

Skin; Excess

Interventions

Lipo-abdominoplastyPROCEDURE

Abdominoplasty plus liposuction

AbdominoplastyPROCEDURE

Abdominoplasty

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

This study is open only to individuals who are residents in Sweden and qualify for government-funded, inpatient, non-emergency health care within the Stockholm Region. Inclusion Criteria: * BMI \< 30 * Stable BMI for \>= 6 months * \>= 24 months since bariatric surgery, if applicable * Skin fold of \>= 5 cm * Functional and/or psychosocial issues due to abdominal skin excess Exclusion Criteria: * Smoking * Ongoing infection

Locations (1)

Reconstructive Plastic Surgery, Karolinska University Hospital

Stockholm, Sweden

Outcomes

Primary Outcomes

Number of and type of complications within 30 days

Number of and type of complications occurring within 30 days of surgery

Time frame: 30 days

Secondary Outcomes

Average need for analgesia in morphine equivalents

Average need for analgesia in morphine equivalents during post-operative day 1

Time frame: Post-operative day 1

Average score on BodyQ score

Average score on BodyQ score including subscales. BodyQ is developed and owned by Memorial Sloan Kettering Cancer Center. The BODY-Q is composed of 27 independently functioning scales that measure 3 overarching constructs Appearance, Quality of Life and Experience of Care. Scales are translated to a 0-100 score where a lower score means worse outcome.

Time frame: At baseline, at 3 months post-operatively, at 12 months post-operatively

Average score on aesthetic result

Average score on aesthetic result on a 1-10 scale where a lower score means worse outcome.

Time frame: At 12 months post-operatively

Average days until discharge

Average days until discharge post-operatively

Time frame: Days

Data from ClinicalTrials.gov

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