Evidence map›Paper›PMID 40897957›Full record

ArticleAesthetic plastic surgery2025

Abdominoplasty After Weight Loss in Post-bariatric Surgery: An Optimized Surgery Procedure and Clinical Protocol-A Large Single-center Study.

Vincenzo Manfellotto, Roberto Cuomo, Maria Giovanna Vastarella, Marcello Molle, Arianna Castiello, Armando Ciccarelli, Chiara D'Addato, Gorizio Pieretti, Feliciano Ciccarelli

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Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
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  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Vincenzo ManfellottoPlastic Surgery Unit, Clinica Villa dei Fiori, Acerra, Italy.
Roberto CuomoPlastic and Reconstructive Surgery Division, Department of Medicine, Surgery and Neuroscience, Santa Maria alle Scotte Hospital, University of Siena, 53100, Siena, Italy.
Maria Giovanna VastarellaDepartment of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
Marcello MolleMultidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy. marcello.molle@libero.it.ORCID 0009-0009-5901-2659
Arianna CastielloMultidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Armando CiccarelliMultidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Chiara D'AddatoMultidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Gorizio PierettiMultidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Feliciano CiccarelliPlastic Surgery Unit, Clinica Villa dei Fiori, Acerra, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWeight loss after bariatric surgery causes very important modifications to the patient's silhouette. Abdominal fat and skin excess reduction are associated with several complications. The most frequent are seroma and hematoma whereas major complications, such as pulmonary embolism, are less frequent. This study aimed to describe our technical procedure and clinical procedure for abdominoplasty in patients with massive weight loss after bariatric surgery. MATERIAL AND

methodsThis retrospective study included 221 post-bariatric patients who underwent abdominoplasty with Scarpa fascia preservation at Villa Dei Fiori Hospital between May 2022 and May 2024. Candidates were selected based on National Institute of Health criteria, with strict preoperative assessments and exclusion of high-risk patients. Operative data, including BMI, excess weight loss (EWL%), complications, and outcomes, were collected. The surgical technique emphasized Scarpa's fascia preservation and a comprehensive postoperative protocol, including tranexamic acid administration and early mobilization.

resultsThe mean age of participants was 47.5 years, with an average preoperative BMI of 45 kg/m DISCUSSION AND

conclusionThis study underscores the importance of Scarpa fascia preservation in abdominoplasty for post-bariatric patients, reducing complications such as seroma and enhancing aesthetic and functional outcomes. Tranexamic acid further minimized complications without thromboembolic risk. Despite its retrospective design, the findings align with existing literature and support the adoption of this technique to improve surgical outcomes and patient quality of life. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these evidence-based medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

AbdominoplastyBariatric SurgeryObesity, MorbidPostoperative ComplicationsWeight LossAdultBody Mass IndexClinical ProtocolsEstheticsFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeAbdominoplastyAesthetic surgeryCohort studyNew techniquePost-bariatric surgerySurgical protocol

Identifiers

PMID40897957

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.