<?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>S0376-78922019000300008</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922019000300008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cambios histológicos dérmicos tras pérdida masiva de peso y su repercusión en la herida quirúrgica en abdominoplastia]]></article-title>
<article-title xml:lang="en"><![CDATA[Histological dermal changes after massive weight loss and its impact on surgical wound after abdominoplasty]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Olivera]]></surname>
<given-names><![CDATA[José Martín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Plasencia Beltrán]]></surname>
<given-names><![CDATA[Julio César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez Mendoza]]></surname>
<given-names><![CDATA[Xanat]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Olivera]]></surname>
<given-names><![CDATA[José Martín]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ricón Rubio]]></surname>
<given-names><![CDATA[Linda L]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="Aa "/>
<xref ref-type="aff" rid="Af4"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Tláhuac Servicio de Cirugía Plástica Postpérdida Masiva de Peso ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General de Tláhuac Servicio de Patología Clínica ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General Dr. Rubén Leñero  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Centro Diagnóstico Docente las Mercedes  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="A4a">
<institution><![CDATA[,Unidad de Cirugía Plástica y Postbariátrica Caracas-Venezuela  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="A4b">
<institution><![CDATA[,Cruz Roja Venezolana Hospital Carlos J. Bello ]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="A4c">
<institution><![CDATA[,Federación Ibero Latinoamericana de Cirugía Plástica  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<volume>45</volume>
<numero>3</numero>
<fpage>275</fpage>
<lpage>283</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922019000300008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922019000300008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922019000300008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y Objetivo La obesidad es un problema de salud pública mundial. Tras la cirugía metabólica se genera una pérdida masiva de peso tras la cual suele ser necesaria una cirugía reconstructiva que conlleva un alto porcentaje de complicaciones en el sitio quirúrgico, principalmente dehiscencia. Es necesario evaluar los cambios histológicos que sufren estos pacientes y su relación con la evolución de la herida, marcando las diferencias entre los pacientes que pierden peso con dieta y ejercicio (únicamente con sobrepeso previo), en comparación con aquellos sometidos a cirugía bariátrica.  Material y método Estudiamos 4 grupos de pacientes candidatos a abdominoplastía tras pérdida de peso hasta lograr un índice de masa corporal (IMC) óptimo. Grupo A (grupo control): pacientes con sobrepeso (IMC 25.1-29) y pérdida ponderal solo con dieta y ejercicio hasta IMC aceptado &lt; 27.5. Grupo B: obesidad Grado I (IMC 30-34.9); Grupo C: obesidad Grado II (IMC 35-39.9); Grupo D: obesidad Grado III / obesidad mórbida (IMC &gt;40). Los Grupos B, C y D con pérdida ponderal tras bypass gástrico que llevó a un IMC aceptado &lt; 31. Tomamos biopsia de la porción supraumbilical del colgajo abdominal a resecar y analizamos las características histológicas y su relación con la evolución postoperatoria.  Resultados Incluimos 80 pacientes (20 por grupo), 95% mujeres (76 pacientes), con edad promedio de 39.4 años (rango de 29 a 58). Obtuvimos una p &lt;0.0001 en relación a la densidad y morfología de las fibras elásticas y de colágeno al comparar todos los grupos de obesidad con el grupo control (sobrepeso); un riesgo relativo 5 veces mayor de equimosis y epidermólisis en la obesidad GIII; 8 veces más riesgo de dehiscencia en la obesidad GII; y 14 veces más riesgo de dehiscencia en el GIII. No hubo diferencia estadísticamente significativa para infección.  Conclusiones Los pacientes con mayor grado de obesidad (GII y III) presentan mayores alteraciones histológicas dérmicas, con repercusión directamente proporcional (aumento del riesgo relativo) en la presencia de equimosis, epidermólisis y dehiscencia de las heridas. Recomendamos tener conciencia de este fenómeno al realizar procedimientos quirúrgicos en pacientes con pérdida de peso tras bypass gástrico, y en el momento del cierre quirúrgico, aplicar menor tensión en los bordes de la herida.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and Objective Obesity is a global public health problem. Metabolic surgery causes a massive weight loss, and patients usually require reconstructive surgery with a high percentage of complications at the surgical site, mainly dehiscence. Consequently, an analysis of histological changes on these patients and their relationship with wound evolution is required, stressing the differences between a patient who lost weight with diet and exercise (with prior overweight only), compared to one subjected to bariatric surgery.  Methods We formed 4 groups of patients who would undergo abdominoplasty after weight loss until an optimal body mass index (BMI) was obtained. Group A (control group): patients who were overweight (BMI 25.1-29), losing weight only with diet and exercise, leading them to an acceptable BMI &lt; 27.5. Group B: obesity Grade I (BMI 30-34.9). Group C: obesity Grade II (BMI 35-39.9). Group D: obesity Grade III / morbid obesity (BMI &gt; 40). Groups B, C and D with weight loss after gastric bypass, leading to an acceptable BMI &lt; 30. A biopsy was taken from the supraumbilical portion of the abdominal flap to be resected. Histological characteristics and their relationship with postoperative evolution were analyzed.  Results 80 patients were included (20 per group). 95% were female (76 patients), with an average age of 39.4 years old (range from 29 to 58). A p &lt;0.0001 was obtained in relation to density and morphology of elastic and collagen fibers when comparing all obesity groups to the control group (overweight), as well as a relative risk 5 times higher of having ecchymosis and epidermolysis in obesity GIII; 8 times higher risk of having dehiscence in Obesity GII; and 14 times higher risk of dehiscence in grade III. There was no statistically significant difference for infections.  Conclusions Patients with a higher degree of obesity (GII and III) have greater dermal histological alterations, with a directly proportional impact (increased relative risk) on the presence of ecchymosis, epidermolysis and dehiscence of wounds. Therefore, we should be aware of this problem when performing surgical closure, applying less pressure on edges.We recommend to take on count this phenomenon when performing a surgical procedure on a patient who lost weight after a gastric bypass, and so, a lower pressure must be applied to closure.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Obesidad]]></kwd>
<kwd lng="es"><![CDATA[Pérdida masiva peso]]></kwd>
<kwd lng="es"><![CDATA[Cirugía bariátrica]]></kwd>
<kwd lng="es"><![CDATA[Cirugía postbariátrica]]></kwd>
<kwd lng="en"><![CDATA[Obesity]]></kwd>
<kwd lng="en"><![CDATA[Massive lost weight]]></kwd>
<kwd lng="en"><![CDATA[Bariatric surgery]]></kwd>
<kwd lng="en"><![CDATA[Postbariatric surgery]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gupta]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Goel]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Shah]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Childhood Obesity in Developing Countries: Epidemiology, Determinants, and Prevention]]></article-title>
<source><![CDATA[Endocr Rev]]></source>
<year>2012</year>
<volume>33</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>48-70</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gilbert]]></surname>
<given-names><![CDATA[EW]]></given-names>
</name>
<name>
<surname><![CDATA[Wolfe]]></surname>
<given-names><![CDATA[BM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bariatric Surgery for the Management of Obesity: State of the field]]></article-title>
<source><![CDATA[Plast Reconstr Surg]]></source>
<year>2012</year>
<volume>130</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>948-54</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Greco]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Castaldo]]></surname>
<given-names><![CDATA[ET]]></given-names>
</name>
<name>
<surname><![CDATA[Nanney]]></surname>
<given-names><![CDATA[LB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The effect of weight loss surgery and body mass index on wound complications after abdominal contouring operations]]></article-title>
<source><![CDATA[Ann Plast Surg]]></source>
<year>2008</year>
<volume>61</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>235-42</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sami]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Elshahat]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Moussa]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Image analyzer study of the skin in patients with morbid obesity and massive weight loss]]></article-title>
<source><![CDATA[Op Acc Journal of Plastic Surg]]></source>
<year>2015</year>
<volume>15</volume>
<page-range>17-28</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Halawi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Abiad]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Abbas]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bariatric surgery and its effects on the skin and skin diseases]]></article-title>
<source><![CDATA[Obes Surg]]></source>
<year>2013</year>
<volume>23</volume>
<page-range>408-13</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Orpheu]]></surname>
<given-names><![CDATA[SC]]></given-names>
</name>
<name>
<surname><![CDATA[Coltro]]></surname>
<given-names><![CDATA[PS]]></given-names>
</name>
<name>
<surname><![CDATA[Scopel]]></surname>
<given-names><![CDATA[GP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Collagen and elastic content of abdominal skin after surgical weight loss]]></article-title>
<source><![CDATA[Obes Surg]]></source>
<year>2010</year>
<volume>20</volume>
<page-range>480-6</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Erdmann]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Letter to editor: Dermal Histomorphology in postbariatric patients]]></article-title>
<source><![CDATA[Ann Plastic Surg]]></source>
<year>2013</year>
<volume>71</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>441-2</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Praaad]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A histological study on the distribution of dermal collagen and elastic fibres in different regions of the body]]></article-title>
<source><![CDATA[Int J of Med Med Sci]]></source>
<year>2012</year>
<volume>4</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>171-6</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fearmonti]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Blanton]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bond]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Changes in dermal histomorphology following surgical weight loss versus diet induced weight loss in the morbidly obese patient]]></article-title>
<source><![CDATA[Ann Plast Surg]]></source>
<year>2012</year>
<volume>68</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>507-12</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Richter]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Stoff]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Abdominoplasty procedures]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Neligan]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[Plastic Surgery]]></source>
<year>2013</year>
<publisher-loc><![CDATA[Philadelphia, United States of America ]]></publisher-loc>
<publisher-name><![CDATA[Elsevier]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Saldanha]]></surname>
<given-names><![CDATA[OR]]></given-names>
</name>
<name>
<surname><![CDATA[Salles]]></surname>
<given-names><![CDATA[AG]]></given-names>
</name>
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Aesthetic evaluation of lipoabdominoplasty in overweight patients]]></article-title>
<source><![CDATA[Plast Reconstr Surg]]></source>
<year>2013</year>
<volume>132</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1103-12</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nahabedian]]></surname>
<given-names><![CDATA[MY]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Discussion: Aesthetic evaluation of lipoabdominoplasty in overweight patients]]></article-title>
<source><![CDATA[Plast Reconstr Surg]]></source>
<year>2013</year>
<volume>132</volume>
<page-range>1113-4</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Espinosa]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Pineda]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Maydón]]></surname>
<given-names><![CDATA[HG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Type 2 diabetes mellitus outcomes after laparoscopic gastric bypass in patients with BMI &lt;35 kg/m2 using strict remission criteria: early outcomes of a prospective study among Mexicans]]></article-title>
<source><![CDATA[Surg Endosc]]></source>
<year>2018</year>
<volume>32</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>1353-9</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Portes]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Morales-Olivera]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Corona]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Interdisciplinary clinical guidelines for massive weight loss patients during plastic reconstructive surgery]]></article-title>
<source><![CDATA[Cir plást iberolatinoam]]></source>
<year>2016</year>
<volume>42</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>78-91</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Naghshineh]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Rubin]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Preoperative evaluation of the body contouring patient: the cornerstone of patient safety]]></article-title>
<source><![CDATA[Plastic Surg]]></source>
<year>2014</year>
<volume>41</volume>
<page-range>637-43</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bossert]]></surname>
<given-names><![CDATA[RP]]></given-names>
</name>
<name>
<surname><![CDATA[Rubin]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluation of the weight loss patient presenting for plastic surgery consultation]]></article-title>
<source><![CDATA[Plast Reconstr Surg]]></source>
<year>2012</year>
<volume>130</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1363-5</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pappas]]></surname>
<given-names><![CDATA[TN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Physiological satiety implications of gastrointestinal antiobesity surgery]]></article-title>
<source><![CDATA[American J Clin Nutrition]]></source>
<year>1992</year>
<volume>55</volume>
<page-range>571-2</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Coon]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Gusenoff]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Kanaan]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Body mass and surgical complications in the postbariatric reconstructive patient: analysis of 511 cases]]></article-title>
<source><![CDATA[Ann Surg]]></source>
<year>2009</year>
<volume>249</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>397-401</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lindsted]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Sandblom]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Wound Healing in man; Tensile Strength of Healing Wounds in Some Patient Groups]]></article-title>
<source><![CDATA[Ann Surg]]></source>
<year>1975</year>
<volume>181</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>842-7</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Agha-Mohammadi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Hurwitz]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Potential impacts of nutritional deficiency of postbariatric patients on body contouring patients]]></article-title>
<source><![CDATA[Aesth Plast Surg]]></source>
<year>2010</year>
<numero>34</numero>
<issue>34</issue>
<page-range>617-25</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
