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Historical Case Report: 45 Years of the First Plastic Surgery in Morbid Obese in Brazil and Their Weight Loss

Modern Plastic Surgery 2020年第3期10卷 82-92页

作者： José Humberto Cardoso Resende Cristine Mara Fragoso Dos Santos Oliveira Heitor Dos Santos Leã o Bruno Viana Martins Brenda Martins Fernandes valentina ruvieri silveira Juliana Araújo Naves Ítalo Julierme Barros Duarte Emídio Silva Falcã o Brasileiro UNIFAN Coordinator of the Work Aparecida de Goi&#226 nia Brazil UNIFAN Academics of Medicine Aparecida de Goi&#226 nia Brazil UNIFAN Coordinator of Research Aparecida de Goi&#226 nia Brazil

Before the 70s, in Brazil, each city had its morbidly obese, considered as the “excessive fats”, in very small numbers if we compare it with the current percentage. There was no classification of the degree of obesity by the body mass index (BMI) as we have today. By chance, on a Saturday in June 1975, at the Outpatient Clinic of the 23rd Infirmary of Santa Casa da Misericórdia Hospital in Rio de Janeiro, arrived the patient I. S., 41 years old, 1.70 m tall, supported by her two children, weighing 210 kg in weight body. Knowing that bariatric surgery only appeared in the 1980s, before that, patients with morbid obesity were left to their own devices, with hypertension and diabetes. The patient I. S. was hospitalized for 3 years in our Plastic Surgery Service, having received nutritional monitoring, had sporadic discharges and undergone 9 reparative plastic surgeries. She was discharged weighing 71 kg, with self-esteem recovered and happy to start a new life, without hypertension and diabetes.

关键词： Obesity Hypertension Diabetes Plastic Surgery Slimming

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