Post-Bariatric Panniculectomy: Postoperative Complications by Weight Loss Surgery Type.

Autor:	Fahmy JN; Research Fellow, Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor MI., Kong L; Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor MI., Benítez TM; Research Assistant, Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor MI., Sanders HM; Research Assistant, Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor MI., Wang L; Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor MI., Chung KC; Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor MI.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery [Plast Reconstr Surg] 2024 Feb 20. Date of Electronic Publication: 2024 Feb 20.
DOI:	10.1097/PRS.0000000000011365
Abstrakt:	Background: Over 250,000 patients undergo bariatric surgery each year in the United States. Approximately 21% will undergo subsequent body contouring after massive weight loss. Patients with prior bariatric surgery are at a greater risk for complications relative to the general population. However, it is unknown if bariatric surgery type is associated with differential complication risk after panniculectomy. Methods: A retrospective chart review of post-bariatric who underwent abdominal panniculectomy at a single large quaternary care center was performed. Postoperative complications were graded according to the Clavien-Dindo classification. Descriptive statistics, multivariable logistic regression, and power calculations were performed. Results: In total, 216 patients were included. Restrictive bariatric surgery accounted for 48.6% while 51.3% had a history of malabsorptive bariatric surgery. The overall rate of complications was 34.3% (restrictive: 36.2%; malabsorptive: 32.8%, p=0.66). Wound complications were observed in 25.5% (n=55) of patients. Systemic complications occurred in 11.1% of patients overall, with statistically similar rates between restrictive and malabsorptive groups. After adjusting for both patient and operative factors, no significant difference in total complications (OR=1.15, 95% CI: 0.47 to 2.85, p=0.76), systemic complications (OR=0.26, 95% CI: 0.05 to 1.28, p=0.10), or wound complications (OR=2.31, 95% CI: 0.83 to 6.41, p=0.11) was observed. Conclusions: Complications following panniculectomy in bariatric surgery patients is high and predominantly related to wound healing. No significant difference between type of bariatric surgery and complication risk was found. (Copyright © 2024 by the American Society of Plastic Surgeons.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu