Cirugia reconstructiva post cirugia baríatrica

Morbid obesity is defined as an increase in body weight above an optimal level resulting in significant complications and comorbidities with a reduction in longevity. For example, morbid obesity has a significant impact on the cardiovascular risk factors, incidence of diabetes, obstructive sleep apnea, and various types of cancer (in men: colon, rectum and prostate and in women: breast, uterus and ovary, among others). The first treatment for morbid obesity is diet with lifestyle modification. life, but this strategy only works in 5-10% who manage to reach and maintain the weight lost for more than three years. When conservative measures don't work there are surgical measures that can be considered in each particular case. In 1991, the NIH established two levels for candidates for surgery based on the index of body mass (BMI): 1. Those with a BMI of 40kg/m2 or greater would be candidates and 2. Those with a BMI of 35kg/m2 with cardiopulmonary comorbidities or diabetes they would also be candidates. After surgery and massive weight loss, some of these patients remain with deforming flaps, which are frequent areas of skin mycosis and infections and that make daily personal hygiene difficult. To these patients, many of whom have improved their diabetes, hypertension, apnea etc., they can be offered reconstructive surgery after bariatric surgery. The purpose of these procedures is focused on improving pre-existing diseases and improving the quality of life of the patient exclusively. It is not considered cosmetic surgery. <a id="