North Somerset PCT
Requests for abdominoplasty will be considered if:
A) Patients undergoing morbid obesity surgery and other previously obese patients have
achieved significant weight loss of the order of 20 BMI points and have maintained
their weight loss for at least two years. The scale of the weight loss and the period
for which it has been sustained must be verified in the patient’s GP records.
B) Where it is required as part of abdominal hernia correction or other abdominal wall
surgery
C) Those with scarring following trauma or previous abdominal surgery.
Category A must be considered with at least one of the following criteria:
i) Severe recurrent intertrigo beneath the skin fold not responding to other
measures.
ii) Experiencing severe difficulties with daily living i.e. ambulatory restrictions
iii) Where previous post trauma or surgical scarring (Usually midline vertical, or
multiple) leads to very poor appearance and results in disabling psychological
distress or risk of infection.
Problems associated with poorly fitting stoma bags.
This guidance is intended to supplement general guidance used by Exceptional Funding
Panels e.g. the requirement for all other appropriate treatments to have failed, and for
clear evidence that the intervention requested will have a substantial and lasting impact
on the problem presented with other evidence of exceptional need.
http://www.northsomerset.nhs.uk/Publications/Policies_and_guidelines/Commissioning/Individual_Commissioning_Policy/Abdominoplasty%20Policy.pdf
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