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Query: UMLS:C0028754 (obesity)
 124,988 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

300 liposuction patients involving 444 anatomical areas are reported in this paper. The clinical significance of the applied anatomy and the comparison between groups are analyzed. 1. The distribution of the liposuction areas. 2. The distribution of blood vessels in the abdominal wall, buttocks and thighs and its relation to the volume of fat removed as well as blood loss. The blood vessels are so abundant in the abdominal wall that the blood loss is larger than that in the buttocks and thighs in the operation. According to the anatomical characteristics of distribution of the blood vessels, the authors pointed out a few "relatively forbidden areas". In group 2 we intentionally avoided doing liposuction in these areas. The results showed that the blood loss was less than that in group 1 and that the volume of fat removed could obviously be increased. 3. The characteristics of liposuction in severe obesity or in patients over 90kg body weight: The aspirate volume is big; the blood versus fat ratio is low. So it is possible to increase the aspirate volume. The elasticity of skin of the abdominal wall is very high. It is not necessary to remove skin in very obese patients with abdominal dermatochalasis.
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PMID:[Application of liposuction and its clinical significance]. 183 26

An abdominoplasty technique is described that combines vertical and horizontal resection to restore abdominal contour to upper and lower abdomen and mons pubis. The results of this technique in 16 patients (13 women and 3 men) are reviewed. The procedure is suggested for patients with massive weight loss, obesity with a panniculus, and supra-umbilical dermatochalasis with or without multiple abdominal scars. A polio patient with an unexpected improvement in pulmonary function following this procedure is included in this series.
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PMID:Fleur-de-lis abdominoplasty. 315 72

Obesity is a global disease with epidemic proportions. Bariatric surgery or modified lifestyles go a long way in mitigating the vast weight gain. Patients following these interventions usually undergo massive weight loss. This results in redundant tissues in various parts of the body. Loose skin causes increased morbidity and psychological trauma. This demands various body contouring procedures that are usually excisional. These procedures are complex and part of a painstaking process that needs a committed patient and an industrious plastic surgeon. As complications in these patients can be quite frequent, both the patient and the surgeon need to be aware and willing to deal with them.
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PMID:Body contouring following massive weight loss. 2171 2

Surgical treatment of obesity often leads to rapid weight loss of a severely obese patient. Loose skin may transform into inconvenient folds that cause functional, social and health problems. Correction of the folds by plastic surgery can improve the quality of life. It is essential that a symptomatic patient is admitted to a plastic surgery evaluation at a stage when the weight has stabilized. In selecting the method and time for surgery, the patient's current weight and degree of disability will be considered. Safety of the operation is most important.
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PMID:[Plastic surgery needed after surgical treatment of obesity]. 2339 25

Large, elastic arteries are composed of cells and a specialized extracellular matrix that provides reversible elasticity and strength. Elastin is the matrix protein responsible for this reversible elasticity that reduces the workload on the heart and dampens pulsatile flow in distal arteries. Here, we summarize the elastin protein biochemistry, self-association behavior, cross-linking process, and multistep elastic fiber assembly that provide large arteries with their unique mechanical properties. We present measures of passive arterial mechanics that depend on elastic fiber amounts and integrity such as the Windkessel effect, structural and material stiffness, and energy storage. We discuss supravalvular aortic stenosis and autosomal dominant cutis laxa-1, which are genetic disorders caused by mutations in the elastin gene. We present mouse models of supravalvular aortic stenosis, autosomal dominant cutis laxa-1, and graded elastin amounts that have been invaluable for understanding the role of elastin in arterial mechanics and cardiovascular disease. We summarize acquired diseases associated with elastic fiber defects, including hypertension and arterial stiffness, diabetes, obesity, atherosclerosis, calcification, and aneurysms and dissections. We mention animal models that have helped delineate the role of elastic fiber defects in these acquired diseases. We briefly summarize challenges and recent advances in generating functional elastic fibers in tissue-engineered arteries. We conclude with suggestions for future research and opportunities for therapeutic intervention in genetic and acquired elastinopathies.
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PMID:Elastin, arterial mechanics, and cardiovascular disease. 2963 68

In contrast to the concealed penis found in children, the adult buried penis (BP) is associated with obesity or found in patients after massive weight loss. Bariatric patients present with enormous prepubic fat masses into which the penile shaft retracts. As a consequence, urinating problems occur with wetting of the adjacent tissue. Many BP patients are circumcised with recurrence and worsening of the symptoms. In postbariatric patients, the penis is not engulfed into the prepubic tissue. In contrast to highly obese patients, the BP is covered underneath the cutaneous apron. Although all conditions are called BP, it is conceivable that plastic-surgical treatment differs. Hence, a novel classification for the adult BP was needed to adjust the procedures accordingly. We propose 3 types of the adult BP. The first type is termed "pseudo-BP." The penis is covered underneath the lax skin without signs of retraction. Here, an apronectomy and prepubic lift with tissue fixation are sufficient. The second type is the "intermediate-type BP" with partial penile invagination. After prepubic apronectomy, anchoring sutures secure the penile shaft from retraction. The third type is the "classical BP" seen in obese patients. The penile shaft is completely retracted into the prepubic fat. Often a stenotic scar tissue is found after previous circumcisions. The plastic-surgical reconstruction comprises scar excision, reduction of the prepubic fat masses with extraction of the penile shaft, anchoring sutures, and reconstruction of the penile envelope. In short, the etiology of the adult BP, a novel classification, and a treatment algorithm according to each type are presented in this comprehensive overview.
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PMID:Classification and Treatment of the Adult Buried Penis. 3005 84