{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T15:44:06Z","timestamp":1762875846828},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>Over 90% of women report to be very dissatisfied with the aspect of their breast after bariatric surgery. Breast reconstructive surgeries are often not funded by the National Health Service or private health insurances in many countries and the patient must pay a high economic amount to undergo it.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients and Methods:<\/jats:title>\n            <jats:p>A prospective randomized clinical trial of patients undergoing bariatric surgery was performed. Patients were randomly assigned into 3 groups: patients undergoing percutaneous electrostimulation of the pectoral muscle combined with specific training (group 1), patients doing the specific training alone (group 2), and patients without any specific treatment (group 3). The assigned treatment began 15 days after surgery and was maintained during 12 weeks.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Twenty-five women were included in each group. In the posttreatment anthropometric measures significant differences between groups could be observed in Regnault classification (<jats:italic toggle=\"yes\">P<\/jats:italic>=0.014), ptosis (<jats:italic toggle=\"yes\">P<\/jats:italic>=0.017), and projection (<jats:italic toggle=\"yes\">P<\/jats:italic>=0.025). Multiple comparisons revealed that there were no significant differences in all these variables between group 2 and group 3, whereas a significant difference could be observed between groups 1 and 2 and 1 and 3. Median satisfaction score with the prescribed treatment was significantly better in group 1 than in the other groups.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Percutaneous electrostimulation of the pectoral muscle combined with specific training achieves a reduction in the breast ptosis and an increased projection, resulting in greater satisfaction of the patients, when compared with only specific training or without any specific activity.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/sle.0000000000000337","type":"journal-article","created":{"date-parts":[[2016,12,6]],"date-time":"2016-12-06T16:02:31Z","timestamp":1481040151000},"page":"459-464","source":"Crossref","is-referenced-by-count":6,"title":["Effect of Pectoral Electrostimulation on Reduction of Mammary Ptosis After Bariatric Surgery"],"prefix":"10.1097","volume":"26","author":[{"given":"Jaime","family":"Ruiz-Tovar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina","family":"Llavero","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20231001","doi-asserted-by":"crossref","first-page":"1724","DOI":"10.1001\/jama.292.14.1724","article-title":"Bariatric surgery: a systematic review and meta-analysis","volume":"292","author":"Buchwald","year":"2004","journal-title":"JAMA"},{"key":"R2-20231001","doi-asserted-by":"crossref","first-page":"1248","DOI":"10.1038\/sj.ijo.0803573","article-title":"Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study","volume":"31","author":"Karlsson","year":"2007","journal-title":"Int J Obes"},{"key":"R3-20231001","doi-asserted-by":"crossref","first-page":"1527","DOI":"10.1007\/s11695-012-0640-1","article-title":"Satisfaction and quality-of-life issues in body contouring surgery patients: a qualitative study","volume":"22","author":"Klassen","year":"2012","journal-title":"Obes Surg"},{"key":"R4-20231001","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1097\/PRS.0b013e3181772aa8","article-title":"Psychological considerations of the bariatric surgery patient undergoing body contouring surgery","volume":"121","author":"Sarwer","year":"2008","journal-title":"Plast Reconstr Surg"},{"key":"R5-20231001","doi-asserted-by":"crossref","first-page":"1178","DOI":"10.1007\/s11695-010-0120-4","article-title":"Current concepts in post-bariatric body contouring","volume":"20","author":"Colwell","year":"2010","journal-title":"Obes Surg"},{"key":"R6-20231001","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1186\/1471-2458-13-290","article-title":"Morbid obesity in women on the rise: an observational, population-based study","volume":"13","author":"Pasco","year":"2013","journal-title":"BMC Public Health"},{"key":"R7-20231001","first-page":"1310","article-title":"Body image and quality of life in patients with and without body contouring surgery following bariatric surgery: a comparison of pre- and post-surgery groups","volume":"18","author":"De Zwaan","year":"2014","journal-title":"Front Psychol"},{"key":"R8-20231001","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/S0094-1298(20)30220-0","article-title":"Breast ptosis. Definition and treatment","volume":"3","author":"Regnault","year":"1976","journal-title":"Clin Plast Surg"},{"key":"R12-20231001","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1097\/SAP.0b013e3181c39377","article-title":"Breast ptosis: causes and cure","volume":"64","author":"Rinker","year":"2010","journal-title":"Ann Plast Surg"},{"key":"R13-20231001","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1097\/PHM.0000000000000110","article-title":"Neuromuscular electrical stimulation induces beneficial adaptations in the extracellular matrix of quadriceps muscle after anterior cruciate ligament transection of rats","volume":"93","author":"Durigan","year":"2014","journal-title":"Am J Phys Med Rehabil"}],"container-title":["Surgical Laparoscopy, Endoscopy &amp; Percutaneous Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00129689-201612000-00007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T03:26:13Z","timestamp":1696130773000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00129689-201612000-00007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.1097\/sle.0000000000000337","relation":{},"ISSN":["1530-4515"],"issn-type":[{"value":"1530-4515","type":"print"}],"subject":[],"published":{"date-parts":[[2016,12]]}}}