[Multidisciplinary approach to surgical treatment of patients with superficial abdominal obesity].

[OBJECTIVE] To analyze an effectiveness of laparoscopic surgery with simultaneous abdominoplasty in patients with superficial abdominal obesity.

[MATERIAL AND METHODS] Laparoscopic abdominal, retroperitoneal and pelvic surgery with simultaneous abdominoplasty was performed in 25 patients with body mass index >40 kg/m.

[RESULTS] Surgery time and intraoperative blood loss were significantly higher after simultaneous surgery (<0.05). However, these differences did not influence postoperative period. Duration of analgesic therapy, activation of patients and length of hospital-stay, as well as overall postoperative morbidity were similar in both groups (>0.05). Simultaneous abdominoplasty resulted significantly better quality of life according to almost all parameters (<0.05).

[CONCLUSION] According to certain indications, abdominoplasty is advisable as the first stage of simultaneous surgery in patients with large subcutaneous fat apron after bariatric surgery or in those with primary superficial abdominal obesity. The positive aspects of abdominoplasty are simplification of laparoscopic stage, reduced intra-abdominal pressure in postoperative period, excellent and good aesthetic effect and improved quality of life.