<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922018000100008</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922018000100008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Complicaciones en cirugía de contorno corporal en pacientes postbariátricos: experiencia en un centro médico académico]]></article-title>
<article-title xml:lang="en"><![CDATA[Body contouring surgery complications after post-bariatric massive weight loss: experience in an academic medical center]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Restrepo-Cano]]></surname>
<given-names><![CDATA[Víctor R]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerra-Urrego]]></surname>
<given-names><![CDATA[Kennedy A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gaviria-López]]></surname>
<given-names><![CDATA[Andrés F]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Gómez]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica Medellín Departamento de Cirugía Plástica ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Clínica Medellín Departamento de Cirugía Plástica ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Clínica Medellín Departamento de Cirugía Plástica ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<volume>44</volume>
<numero>1</numero>
<fpage>47</fpage>
<lpage>55</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922018000100008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922018000100008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922018000100008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y Objetivo: Los pacientes sometidos a cirugía bariátrica presentan exceso de piel como resultado de su pérdida masiva de peso. Las cirugías de contorno corporal que persiguen solucionar sus problemas funcionales y estéticos no están exentas de complicaciones. Nos proponemos identificar los factores asociados con complicaciones en pacientes sometidos a cirugía de contorno corporal después de cirugía bariátrica. Analizamos datos demográficos, comorbilidades y variables quirúrgicas en una muestra poblacional recogida entre los pacientes intervenidos en nuestro centro académico de Medellín, Colombia.  Material y Método: Información retrospectiva y prospectiva de 627 procedimientos quirúrgicos de contorno corporal en 512 pacientes recolectada durante 4 años. Después de un análisis bivariado, seleccionamos las variables con un valor de p &#8804;0.25 para análisis multivariado mediante modelo de regresión logística apropiadamente estimado, probado y ajustado, a fin de identificar las variables independientes que pudieran explicar las complicaciones.  Resultados: De los 512 pacientes del estudio, 67 procedimientos (10.7%) tuvieron complicaciones. La edad promedio fue de 41.22 ± 9.9 años. El peso promedio y el índice de masa corporal (IMC) prebariátrico fueron de 111.3 ± 19.6 kg y 46.1 ± 10.8 kg/m2 respectivamente. El peso promedio e IMC post-bariátrico fueron de 69.9 ± 11.7 kg y 27.2 ± 4.2 kg/m2 respectivamente. Las variables en el análisis bivariado que se asociaron a complicaciones fueron: apnea del sueño (p&lt;0.028), cirugía ambulatoria (p&lt;0.017), transfusiones (p&lt;0.013), peso prebariátrico (p=0.019) peso postbariátrico (p&lt;0.001), tiempo quirúrgico (p&lt;0.001), estancia hospitalaria (p&lt;0.001), hemoglobina posquirúrgica (p&lt;0.007) y tejido resecado (p&lt;0.012). El análisis multivariado evidenció las siguientes variables independientes significativas: estancia hospitalaria (OR 1.7, IC 95%: 1.19-2.51, p&lt;0.004), y peso postbariátrico (OR 14.72, IC 95%: 3.08-70.41, p&lt;0.001). No hubo casos de embolismo pulmonar, admisión a Unidad de Cuidados Intensivos, ni muerte.  Conclusiones: La prevalencia de complicaciones en nuestra población fue baja. Los factores independientes asociados con complicaciones en el análisis multivariado fueron la estancia hospitalaria y el peso postbariátrico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and Objective: Excessive weight loss after bariatric surgery results in skin excess. Body contouring surgery corrects the functional and esthetic problems of these patients, although it has its complications. Our objective is to identify the associated factors for complications in patients undergoing post-bariatric contouring surgery. Demographics, comorbidities and surgical data were analyzed in a population sample collected among patients operated at our academic center in Medellín, Colombia.  Methods: Retrospective and prospective data of 627 procedures in 512 patients were collected in a 4 years period. After a bivariate analysis, variables with a p &#8804;0.25 were selected for the multivariate analysis. Logistic regression was estimated, proved and adjusted to identify independent variables associated with complications.  Results: Of the 512 patients accepted, 67 procedures (10.7%) had a complication. Mean age was 41.22 ± 9.9 years. Mean pre-bariatric weight and body mass index (BMI) were 111.3 ± 19.6 kg and 46.1 ± 10.8 kg/m2 respectively. Mean post-bariatric weight and BMI were 69.9 ± 11.7 kg and 27.2 ± 4.2 kg/m2, respectively. The variables that were associated to complication in a bivariate analysis were: sleep apnea (p&lt;0.028), outpatient surgery (p&lt;0.017), blood transfusion (p&lt;0.013), pre-bariatric weight (p=0.019) post-bariatric weight (p&lt;0.001), surgical time (p&lt;0.001), hospital stay (p&lt;0.001), postsurgical hemoglobin (p&lt;0.007) and resected tissue (p&lt;0.012). Multivariate analysis evidenced the following independent variables: hospital stay (OR 1.7, IC 95%: 1.19-2.51, p&lt;0.004), and post-bariatric weight (OR 14.72, IC 95%: 3.08-70.41, p&lt;0.001). No cases of pulmonary embolism, Intensive Care Unit admission, nor death.  Conclusions: The rate of complication of our population study was low. Independent factors associated with complications were hospital stay and post-bariatric weight.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cirugía postbariátrica]]></kwd>
<kwd lng="es"><![CDATA[Cirugía contorno corporal]]></kwd>
<kwd lng="es"><![CDATA[Complicaciones]]></kwd>
<kwd lng="en"><![CDATA[Post-bariatric surgery]]></kwd>
<kwd lng="en"><![CDATA[Body contouring surgery]]></kwd>
<kwd lng="en"><![CDATA[Complications]]></kwd>
</kwd-group>
</article-meta>
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