脂肪填充术、腹部整形术与身体吸脂术和减肥手术的治疗方面

I. Murkamilov, K. Aitbaev, D. Ymankulov, Sh. Hakimov, Z. Raimzhanov, Z. Yusupova, T. Yusupova, F. Yusupov
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摘要

这篇综述文章专门讨论各种整形手术的治疗方面。如今,通过整形手术改善外貌和生活质量正变得越来越流行。在脂肪填充术和腹部整形术联合吸脂术后如何管理患者是一项跨学科挑战。整形外科的术中风险与麻醉和合并症有关。心血管和呼吸系统对麻醉剂的即时反应以及麻醉师的资质决定了手术的即时成功与否。手术时间的长短、体积的变化、体表面积的减少以及脂肪组织受到机械冲击后新陈代谢和免疫状态的变化,都会显著改变机体的代偿-适应反应速度。在脂肪填充术、腹部整形术、吸脂术和隆乳术后的长期阶段,经常会观察到全身并发症。这些并发症包括失眠、慢性肾病、蛋白质能量营养不良、关节病、非特异性肺间质病变、未经证实的肝炎、狼疮样综合征、移植脂肪和硅胶材料抗体、特发性肢体水肿以及自身炎症综合征。论文还提供了有关异丙酚输注综合征和整形外科血管内皮生长因子临床预后意义的数据。作者团队还提供了他们自己关于肥胖和相关疾病的临床数据。为了保持脂肪填充、吸脂、隆乳、眼睑整形和鼻整形术后的美观效果并预防长期并发症,建议在接下来的 3-6 个月内遵循低过敏性和低热量饮食,避免夜间工作、过度体力劳动、同时服用抗生素和消炎药、日晒、山区旅行和长途飞行。
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Therapeutic Aspects of Lipofilling, Abdominoplasty in Combination with Body Liposuction and Bariatric Surgery
This review article is dedicated to the therapeutic aspects of various plastic surgery procedures. Nowadays, improving appearance and quality of life through plastic surgery is becoming increasingly popular. Managing patients after lipofilling and abdominoplasty combined with liposuction is an interdisciplinary challenge. Intraoperative risks in plastic surgery are associated with anesthesia and comorbidities. The immediate response of the cardiovascular and respiratory systems to the administration of anesthetic agents and the anesthesiologist's qualifications determines the immediate success of the operations. The duration of the surgery, volumetric disturbances, reduction of body surface area, and changes in metabolic and immunological status after mechanical impact on adipose tissue significantly alter the rate of compensatory-adaptive reactions of the body. In the long-term period after lipofilling, abdominoplasty, liposuction, and augmentation mammoplasty, systemic complications are often observed. These include insomnia, chronic kidney disease, protein-energy malnutrition, arthropathies, nonspecific interstitial lung lesions, unverified hepatitis, lupus-like syndrome, antibodies to transplanted fats and silicone materials, idiopathic limb edema, as well as autoinflammatory syndromes. The presented work also provides data on propofol infusion syndrome and the clinical-prognostic significance of vascular endothelial growth factor in plastic surgery. The authors’ team also presents their own clinical data on obesity and associated diseases. To maintain the aesthetic effect and prevent long-term complications after lipofilling, liposuction, augmentation mammoplasty, blepharoplasty, and rhinoplasty, it is recommended to follow a hypoallergenic and low-calorie diet for the next 3-6 months, avoid night work, excessive physical exertion, simultaneous intake of antibiotics and anti-inflammatory drugs, sun exposure, trips to mountainous areas, and long flights.
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