2.

Adjuvant use of FS VH S/D 4 s-apr appears to be safe and results in lower drainage volumes than SoC treatment alone.

We obtained long-term follow-up (3–13 years) on a group of 143 patients with adhesive small bowel obstruction. This represented 50% of a group of 288 patients treated by either conservative tube management or operative enterolysis. The incidence of recurrent obstruction in operative versus nonoperative patients is not statistically different. We challenge the frequently stated opinion that conservative resolution of adhesive small bowel obstruction results in a prohibitive incidence of recurrent obstruction. To substantiate this view and our previous suggestion that tube management of adhesive small bowel obstruction should be tried in many patients with this disease, a prospective randomized study of the problem is now in progress.

A procedure that combined an abdominal body lift with augmentation buttock-pexy using autologous tissue achieved a pleasing and durable buttock contour. We present this technique as a reliable method to improve the cosmetic results of postbariatric surgery body contouring.

There are many established plastic surgical techniques to address effectively the lax, redundant tissue of the post-weight loss patient. Surgeons who are beginning their involvement in treating these patients are discovering that standard techniques are not always applicable to this rapidly growing group of patients and their extraordinary surgical challenges. Unique to the buttocks and the post-bariatric female breast is a tendency for these areas not only to become loose and ptotic but also to lose their natural fullness after weight loss. This type of contour deformity is not adequately treated with excisional procedures alone. To improve the buttock shape in these patients, the author has developed a soft tissue augmentation of the buttocks using a large random flap of subcutaneous tissue. The flap is transposed as a supramuscular ''implant'' as part of a belt lipectomy-lower body lift type of procedure. This accomplishes an augmentation buttock-pexy, creating a more full and supple contour to the buttock than can be achieved with skin excision alone. This procedure has been performed in more than 60 patients with consistent, durable results and is a reliable method to improve the cosmetic results of post-bariatric buttock contouring surgery.