الفهرس 
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Abstract
This study included two groups of thirty patients each, group I
consisted of patients with redundancy at the ventral part of the abdomen
with stable weight after laparoscopic sleeve gastrectomy, where
traditional abdominoplasty was done to them. While group II consisted of
patients with redundancy at the ventral part of the abdomen with stable
weight after laparoscopic sleeve gastrectomy, Mini-abdominoplasty was
done to them.
In this study, ten patients were males, and 50 patients were
females. This may be attributed to the socioeconomic class of Ain-
Shams patients who were the subject of this study.
The mean age of the studied groups of patients in this work
was 31 years.
In this work the incidence of associated medical diseases was
(81.666%).
The Formal abdominoplasty took more time than that of miniabdominoplasty
(mean operative times were 162 minutes and 121
minutes respectively).
Major complications like deep vein thrombosis and pulmonary
embolism were not registered in this study. All patients in this study
received prophylactic anticoagulants.
The commonest postoperative complication in this study in both
groups was seroma formation (63.333% in group I and 70% in group II).
Partial wound dehiscence in this study was encountered in 10% of
patients of group I and non of patients of group II, all these
complications resolved with minor treatment and follow up within 3
Summary and Conclusion
154
weeks.
The Flank fullness after weight loss was resolved in group I except
for 10 while group II 20 cases still with flank fullness which made the
requirement for liposuction or redo operation much less in group I with
formal Abdominoplasty.
The upper abdominal wall bulge condition resolved successfully in
27 cases from group I and only 10 from group II with modern
miniabdominoplasty.
The patients in this study had no long hospital stay (mean time for
hospital stay was 3 days for group I and 3 days for group II). Most
minor postoperative complications could be managed in out patient clinic.so
the formal Abdominoplasty didn’t change the hospital stay. Also the rest
time when they get home was the same (2 weeks).
As a whole all patients in this study were uniformly pleased with
their results. They were pleased with their new image. Besides, all the
patients with preoperative depression and weight loss noted an
improvement after their abdominoplasty.
To conclude, Abdominoplasty gives the patient seeking weight
loss the encouragement and well to lose more weight and improve his
psychological state, traditional abdominoplasty provide a comprehensive
treatment of abdominal wall redundancy, even in the most severe cases,
the patients get both functioning and cosmetic improvement. Miniabdominoplasty
is less effective, not appropriate method to treat
patients with lipodystrophy of the trunk and fullness of the flanks post
laparoscopic sleeve gastrectomy and bariatric surgeries