Sensação cutânea abdominal em obesidade e após obesidade com e sem abdominoplastia pós-cirurgia bariátrica

• Ano de defesa: 2010
• Autor(a) principal: Bussolaro, Rodolpho Alberto [UNIFESP]
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Obesidade; Cirurgia bariátrica; Cirurgia plástica; Pele; Parede abdominal
• Link de acesso: http://repositorio.unifesp.br/handle/11600/10072

Introduction: Obeses and former obeses have flaccidity and excedent skin. The skin can have its neurologic function impaired by obesity. The cutaneous sensory tactile function is essential for the human behavior in cotidien life, and a satisfactory health assistance must understand this function inside the obesity context. Objective: To quantify the abdominal wall skin sensation in obesity and after obesity with and without postbariatric abdominoplsty. Methods: Semmes-Weinstein monofilaments were used to measure the innocuous tactile abdominal skin sensation in 25 obeses, 56 post-bariatrics and 43 thin women. And 28 former obeses were submitted to no flap undermining abdominoplasty with their skin sensation quantified before and six months after the surgery; the result was compared to a control group. The statistical significance level was 0.05. Results: Sensory limiars (Obeses = 6,9g/mm2, former obeses = 4,4g/mm2 and thins = 3,4g/mm2) are different (Wilcoxon test & Bonferroni correction). Infraumbilical abdominal skin’s sensory limiar (9,6g/mm2) is different from the umbilical (5,9g/mm2) e supra-umbilical (5,4g/mm2) levels, Wilcoxon & Bonferroni. The post-bariatric abdominoplasty kept the abdominal skin sensation function (Mann Whitney test). Conclusion: The skin sensory function is impaired in obesity and, at a lower level, after obesity; the abdominoplasty without flap undermining do not impair this skin function.