Medial Thighplasty Improves Patient’s Quality of Life After Massive Weight Loss: a Prospective Multicentric Study,Obesity Surgery

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Medial Thighplasty Improves Patient’s Quality of Life After Massive Weight Loss: a Prospective Multicentric Study
Obesity Surgery ( IF 2.9 ) Pub Date : 2021-08-11 , DOI: 10.1007/s11695-021-05654-w
Camille Mocquard _{1,

2,

3} , Isabelle Pluvy ₄ , Benoit Chaput ₅ , Maarten M Hoogbergen ₆ , Eric Watier ₁ , Silvia Gandolfi ₇ , Nicolas Bertheuil _{1,

2,

3}

Affiliation

Background

The aim of this study was to assess the impact of medial thighplasty following massive weight loss on the quality of life of patients and on their sexual life.

Methods

We performed a multicentric, prospective study on the quality of life after massive weight loss using the Short-Form 36 questionnaire, the Female Sexual Function Index questionnaire, and the Moorehead-Ardelt Quality of life questionnaire. Forty-nine patients who underwent medial thighplasty were included in three centers and evaluation was made pre- and post-operatively.

Results

The mean age of the patients was 44 ± 12.5 years. The average pre-medial thighplasty body mass index was 27 ± 3.8 kg/m². All the categories of the SF36 questionnaire scored higher after surgery apart from “health change” but only the “role limitations due to emotional problems” category was significantly improved (p = 0.0081). Similarly, the Moorehead-Ardelt questionnaire showed a positive impact of the surgery on the quality of life in general (mean total score 1.04 ± 1.37) and on self-esteem, physical activity, social relationships, and work performance. Interestingly, sexual activity was not improved by the surgery and this result is in line with the FSFI, which showed no effect of medial thighplasty on sexual life.

Conclusions

Medial thighplasty improves the quality of life of patients after massive weight loss but does not seem to modify the sexual quality of life. These results clearly indicate that this surgery should be widely offered to patients seeking reconstruction of massive weight sequelae.

Graphical abstract

中文翻译：

大腿内侧整形术可改善患者大幅减肥后的生活质量：一项前瞻性多中心研究

背景

本研究的目的是评估大规模减肥后大腿内侧成形术对患者生活质量及其性生活的影响。

方法

我们使用简式 36 问卷、女性性功能指数问卷和 Moorehead-Ardelt 生活质量问卷对大规模减肥后的生活质量进行了一项多中心、前瞻性研究。三个中心纳入了 49 名接受大腿内侧成形术的患者，并在术前和术后进行了评估。

结果

患者的平均年龄为 44 ± 12.5 岁。大腿内侧成形术前的平均体重指数为27 ± 3.8 kg/m ² 。除“健康变化”外，SF36 问卷的所有类别在手术后得分均较高，但只有“情绪问题导致的角色限制”类别显着改善（ p = 0.0081）。同样，Moorehead-Ardelt 问卷显示手术对总体生活质量（平均总分 1.04 ± 1.37）以及自尊、身体活动、社会关系和工作表现产生了积极影响。有趣的是，手术并未改善性活动，这一结果与 FSFI 一致，即大腿内侧成形术对性生活没有影响。