Simultaneous abdominoplasty with scar-less laporoscopic cholecystectomy

Abstract

With abdominoplasty, loosening and sagging problems caused by excessive weight loss are corrected. After bariatric surgery, especially Roux-en-Y gastric bypass (RYGB), the frequency of gallstone formation increases compared to the normal population due to rapid weight loss. Even if the patient is asymptomatic, it is important to perform an abdominal ultrasound examination of all patients who admit for abdominoplasty, especially following postoperative weight loss for morbid obesity. In this study, we tried to state that scarless laparoscopic cholecystectomy and abdominoplasty can be performed safely.

Keywords

• Bariatric surgery
• Cholecystectomy
• Abdominoplasty

İzsiz laporoskopik kolesistektomi ve abdominoplasti birlikteliği

Öz

Karın germe ameliyatı ile aşırı kilo vermeye bağlı oluşan gevşeme ve sarkma problemleri düzeltilir. Bariyatrik cerrahi, özellikle de Roux-en-Y gastrik bypass (RYGB) sonrasında, hızlı kilo kaybından dolayı safra taşı oluşum sıklığı normal populasyona göre artar. Hasta asemptomatik olsa bile, özellikle morbid obezite için ameliyat sonrası kilo kaybını takiben, abdominoplasti için gelen tüm hastaların abdominal ultrason muayenesi yapılması önem arzeder. Bu çalışmada, izsiz laporoskopik kolesistektomi ve abdominoplastinin güvenli bir şekilde uygulanabileceğini ifade etmeye çalıştık.

Anahtar Kelimeler

• bariatrik cerrahi
• kolesistektomi
• abdominoplasti

References

1. 1. Zammerilla LL, Zou RH, Dong ZM, et al. Classifying severity of abdominal contour deformities after weight loss to aid in patient counseling: a review of 1006 cases. Plastic and reconstructive surgery 2014;134:888e-894e.
2. 2. Stuerz K, Piza H, Kinzl JF. The impact of abdominoplasty after massive weight loss: A qualitative study. Annals of Plastic Surgery. 2013;71(5):547-9. doi: 10.1097/SAP.0b013e3182503b11.
3. 3. Saariniemi K, Salmi AM, Peltoniemi HH, Helle MH, Charpentier P, Kuokkanen H. Abdominoplasty ımproves quality of life, psychological distress, and eating disorder symptoms: A prospective study. Plastic Surgery International. 2014;2014:1-4. doi: 10.1155/2014/197232.
4. 4. Hurvitz KA, Olaya WA, Nguyen A, Wells JH. Evidence-based medicine: Abdominoplasty. Plast Reconstr Surg. 2014;133(5):1214-21.
5. 5. Iglezias Brando de Oliveira C, Adami Chaim E, da Silva BB. Impact of rapid weight reduction on risk of cholelithiasis after bariatric surgery. Obes Surg 2003; 13: 625-628.
6. 6. Jonas E, Marsk R, Rasmussen F, Freedman J. Incidence of postoperative gallstone disease after antiobesity surgery: population-based study from Sweden. Surg Obes Relat Dis 2010; 6: 54-58.
7. 7. Fuller W, Rasmussen JJ, Ghosh J, Ali MR. Is routine cholecystectomy indicated for asymptomatic cholelithiasis in patients undergoing gastric bypass? Obes Surg 2007; 17: 747-751.
8. 8. Logan JM, Broughton G. Plastic surgery: Understanding abdominoplasty and liposuction. AORN J. 2008;88(4):587-91. doi: 10.1016/j. aorn.2008.07.018.

9. 9. Ellison JM, Steffen KJ, Sarwer DB. Body contouring after bariatric surgery. Eur Eat Disord Rev. 2015;23(6):479-87. doi: 10.1002/ erv.2408.
10. 10. Prasad MB, Surapaneni SR, Dabade SS. Scarless cholecystectomy: laparoscopic cholecystectomy with abdominoplasty. Indian J Surg. 2012; 74(6): 486–488.
11. 11. Ibrahim AAM. Simultaneous laparoscopic cholecystectomy with abdominoplasty. Int Surg J. 2017 Jul;4(7):2139-2142 .
12. 12. Özgur F, Aksu A, Özkan O, Hamaloglu E. The advantages of simultaneous abdominoplasty, laparoscopic cholecystectomy, and incisional hernia repair. European J Plastic Surg. 2002;25(5):271-4.
13. 13. Iannelli A, Schneck AS, Ioia G, Gugenheim J Single Incision laparoscopic surgery cholecystectomy: a preliminary experience. Surgl Laparosc Endosc Percutan Tech. 2010;20(3):89-91.
14. 14. Zornig C, Mofid H, Emmermann A, Alm M, von Waldenfels HA, Felixmuller C. Scarless cholecystectomy with combined transvaginal and transumbilical approach in a series of 20 patients. Surg Endosc. 2008;22(6):1427-9.
15. 15. Cuesta MA, Berends F, Veenhof AA. The “invisible cholecystectomy”: a transumbilical laparoscopic operation without a scar. Surg Endosc. 2008;22(5):1211-3.
16. 16. Bailey RW, Zucker KA, Flowers JL, Scoville WA, Graham SM, Imbembo AL. Laparoscopic cholecystectomy: experience with 375 consecutive patients. Ann Surg. 1991; 214: 531–540.
17. 17. Kryger, Z. B., Dumanian, G. A., & Howard, M. A. . Safety issues in combined gynecologic and plastic surgical procedures. International Journal of Gynecology & Obstetrics. 2007; 99(3): 257–263.
18. 18. Gemperli R, Neves RI, Bonamichi GT, et al. Abdominoplasty combined with other intra-abdominal procedures. Ann Plast Surg. 1992; 29(1):1822.
19. 19. Sergio Sánchez-Cordero, Bernard Cambier, Renato Roriz et al. Combined surgery: abdominoplasty and abdominal laparoscopic surgery in one surgical time. Bariátrica & Metabólica Ibero-Americana. 2019; 9.3.8: 2618-2620.