%0 Journal Article %T Refined running suture lower body lift in massive weight loss patients %A Ikander, Peder %A Gad, Dorte %A Gunnarsson, Gudjon Leifur %A Boljanovic, Slaven %A Sørensen, Jens Ahm %A Thomsen, Jørn Bo %J Journal of Visualized Surgery %D 2018 %B 2018 %9 %! Refined running suture lower body lift in massive weight loss patients %K %X The circumferential lower body lift is a recognized procedure for body contouring of massive weight loss (MWL) patients. We present a modified suture technique and setup, which significantly reduce the operative time and increase the efficiency of the procedure. We included 59 MWL patients undergoing lower body lift with fleur-de-lis. We registered demographics, weight loss method, co-morbidity, perioperative measurements and postoperative complications. The number of surgeons, suture technique and time for surgery were registered. The mean operative time for one surgeon using interrupted sutures was 195±28 minutes compared to 131±36 minutes for one surgeon using running sutures (P=0.0001). The mean operative time for two surgeons using running sutures was 88±13 minutes (P=0.0001). The use of running sutures as well as the number of surgeons significantly reduced the time for surgery. The lower body lift including a fleur-de-lis abdominoplasty can be performed in 1.5 hours with an optimal setup and surgical technique. %U https://jovs.amegroups.org/article/view/21230 %V 4 %P %@ 2221-2965