Radial forearm fl aps. Experience in ten patientsBackground: Radial forearm fl ap is extraordinarily versatile thanks to its irrigation by the radial artery and its minor pedicles. It provides assorted alternatives for the reconstruction of proximal or distal defects of the arm and can be used as a free fl ap in head, neck, posterior trunk region, lower limb, esophagus and penis. It allows the incorporation of bone, tendons, nerves and muscle for complex lesion repair. Aim: To report our experience with radial forearm fl ap. Patients and Methods: Ten patients aged 20 to 65 years (four women) are reported. The lesions repaired were traumatic in four, infectious in three, secondary to tumors in two (a squamous intra oral adenocarcinoma in both patients) and vascular in one patient. Results: No patient had a partial or total loss of the fl ap. Five patients required complementary dermo epidermic grafts in a second intervention. Mean hospital stay was 30 days. All patients reported a favorable degree of satisfaction with the procedure. Conclusions: Radial forearm fl aps are a good alternative for the repair of a great variety of lesions.

development and testing of an instrument to assess body shape related quality of life background: The assessment of patient satisfaction and quality of life after body remodeling surgery is important. aim: To develop and assess a self-report instrument to evaluate the results of bariatric and body remodeling surgery. material and methods: A three phase methodology was used. In phase 1, literature was reviewed and in depth interviews to patients were carried out, creating a preliminary instrument that was applied to 1,340 patients in phase 2. In phase 3, the final assessment of the instrument was performed, applying it to 34 patients. The psychometric properties of the in instrument were evaluated. results: The instrument has four domains (satisfaction with abdomen, sexual life, self-esteem and social life and psychological symptoms) and 20 items. Its score ranges from 20 (worst) to 100 (better). Response rate was 100%, internal reliability was 93% and test-re test concordance was 98%. Body shape related quality of life was significantly higher in men than in women. It decreases with age and with increasing body mass index. Patients subjected to bariatric surgery had lower scores than patients subjected to esthetic surgery. In the postoperative period, the score improved by 21.9 ± 16.9 points. conclusions: The instrument developed can reliably measure quality of life associated with body shape.key words: quality of life, body shape, bariatric surgery.

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Objetivo: Identificar los factores determinantes de la mejoría de la calidad de vida en pacientes sometidos a cirugía de contorno corporal.            Materiales y métodos: Se estudió una cohorte prospectiva de 113 pacientes sometidos a cirugía de contorno corporal. Se estudiaron características sociodemográficas, mediciones antropométricas, variables relativas a la cirugía y se aplicó el instrumento Body-Qol®. Para el análisis estadístico se utilizó estadística descriptiva,  modelos de ecuaciones de estimación generalizada  y modelos de regresión lineal y logística.            Resultados: Se encontró mejoría en la calidad de vida de forma global (p<0,0001) y por dominios. Los pacientes con pérdida masiva de peso tuvieron peores puntajes pre y postoperatorio, sin embargo, un delta de mejoría comparable con los pacientes estéticos. Dentro de los factores determinantes, existió una relación positiva entre la edad y la mejoría en la calidad de vida de forma global. El índice de masa corporal (IMC) se encontró asociado negativamente con la mejoría del puntaje global. Dentro de los factores de la cirugía, los pacientes sometidos a lipoabdominoplastia tuvieron una mayor mejoría con respecto a otras técnicas. Además, el patrón de resección ampliado y en flor de Lis se asoció a menor mejoría en el puntaje global.            Conclusión: La cirugía de contorno corporal mejora la calidad de vida de forma significativa. Los principales factores determinantes de esta mejoría fueron la edad, el IMC, el antecedente de pérdida masiva de peso y el patrón de resección.

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