Preoperative Evaluation of the Superficial Fascial System Can Predict Wound Complications in Body Contouring Surgery.

Autor:	Straughan DM; From the Division of Plastic and Reconstructive Surgery, Tulane University., McCarthy ME; Tulane University School of Medicine., Guidry RF; Louisiana State University Health Sciences Center., Chaffin AE; From the Division of Plastic and Reconstructive Surgery, Tulane University., St Hilaire H; Division of Plastic and Reconstructive Surgery, Louisiana State University Health Sciences Center., Dancisak M; Center for Anatomical and Movement Sciences, Tulane University, New Orleans, LA., Lindsey JT; From the Division of Plastic and Reconstructive Surgery, Tulane University.
Jazyk:	angličtina
Zdroj:	Annals of plastic surgery [Ann Plast Surg] 2020 Jun; Vol. 84 (6S Suppl 5), pp. S401-S404.
DOI:	10.1097/SAP.0000000000002155
Abstrakt:	Background: The demand for body contouring surgery continues to rise. The inclusion of the superficial fascial system (SFS) during closure of such procedures has been shown to improve outcomes; however, currently reported wound complication rates remain high. The authors assess whether decreased quantities of SFS are associated with wound complications in these patients. Methods: A retrospective study of patients undergoing body contouring surgery was performed. Preoperatively, ultrasound images were obtained of the SFS. Using Cellprofiler, the mean gray values (MGVs) of the SFS were calculated to quantify this structure. Chart review was performed to identify postoperative wound complications. Results: Thirty-six patients were included: 30 abdominoplasties, 3 bilateral medial thigh lifts, and 3 bilateral brachioplasties. The overall wound complication rate was 22.5%. There were no significant differences in body mass index, age, smoking status, weight of resected specimen, or diabetes when comparing the complication and noncomplication groups. However, the MGV was significantly greater in the noncomplication group compared with the complication group (0.135 ± 0.008 vs 0.099 ± 0.005, respectively, P = 0.03). The average MGV for the entire cohort was 0.127. Patients with an MGV of greater than 0.127 had a wound complication rate of 0% compared with that of 39% for patients with an MGV of 0.127 or less (P = 0.005). Conclusions: Poor quantities of SFS identified by ultrasound were associated with increased wound complications in patients undergoing body contouring surgery. Furthermore, patients with better than average SFS seem to be protected from such complications.
Databáze:	MEDLINE
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