The evidence based recommendations of the S3 guideline for surgery for obesity relate to indication, preparation, choice of procedure, technique, and aftercare of specific operations to reduce weight. Furthermore the guideline stipulates that plastic surgery after successful weight reduction should be integrated into an interdisciplinary treatment concept (recommendation grade B) and that the changes in the patients’ appearance and the associated medical and psychosocial sequelae should be discussed with the patient before the bariatric surgery (recommendation grade A) (www.AWMF.de).
However, the evidence for plastic surgery is not high enough just yet for a consensus based therapeutic algorithm to be drawn up according to the formal requirements of an S3 guideline. Plastic surgery has to provide the data—by means of clinical analyses, comparative studies, and standardized surgical concepts—that are required for an interdisciplinary discussion between the specialist societies. On the background of the notably rising case numbers of obesity surgery, scientific discourse and quality assurance of the body contouring correctional interventions are central tasks for the specialist society of plastic surgery. The practical collaboration between surgeons specializing in obesity and plastic surgeons with expertise in postbariatric body contouring is being practiced in many places in certified obesity centers.
Prof. Dr. med. Dr. h. c. Norbert Runkel
Schwarzwald-Baar Klinikum, Villingen-Schwenningen, firstname.lastname@example.org
Conflict of interest statement
Professor Runkel has received honoraria from Smith and Nephew, expenses from Ethicon, Covidien, Storz, and Aesculap.
|1.||Runkel N, Colombo-Benkmann M, Hüttl TP, Tigges H, Mann O, Sauerland S: Clinical practice guideline: Bariatric surgery. Dtsch Arztebl Int 2011; 108(20): 341–6. VOLLTEXT|