Cosmetic Liposuction: Preoperative Risk Factors, Major Complication Rates, and Safety of Combined Procedures
| Autor: | James C. Grotting, Julian Winocour, Varun Gupta, John Layliev, Christodoulos Kaoutzanis, K. Kye Higdon, Roberto Ramirez |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent Databases Factual medicine.medical_treatment 030230 surgery Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine Hematoma Lipectomy Risk Factors Odds Ratio medicine Humans Obesity Prospective Studies Child Prospective cohort study Aged Aged 80 and over Chi-Square Distribution business.industry General Medicine Odds ratio Middle Aged Body Contouring medicine.disease United States Surgery Logistic Models Treatment Outcome Child Preschool 030220 oncology & carcinogenesis Relative risk Liposuction Female business Complication Body mass index Chi-squared distribution |
| Zdroj: | Aesthetic Surgery Journal. 37:680-694 |
| ISSN: | 1527-330X 1090-820X |
| DOI: | 10.1093/asj/sjw243 |
| Popis: | Background Liposuction is among the most commonly performed aesthetic procedures, and is being performed increasingly as an adjunct to other procedures. Objectives To report the incidence and risk factors of significant complications after liposuction, and to determine whether adding liposuction to other cosmetic surgical procedures impacts the complication risk. Methods A prospective cohort of patients who underwent liposuction between 2008 and 2013 was identified from the CosmetAssure database. Primary outcome was occurrence of major complications requiring emergency room visit, hospital admission, or reoperation within 30 days of the operation. Univariate and multivariate analysis evaluated risk factors including age, gender, body mass index (BMI), smoking, diabetes, type of surgical facility, and combined procedures. Results Of the 31,010 liposuction procedures, only 11,490 (37.1%) were performed as a solitary procedure. Liposuction alone had a major complication rate of 0.7% with hematoma (0.15%), pulmonary complications (0.1%), infection (0.1%), and confirmed venous thromboembolism (VTE) (0.06%) being the most common. Independent predictors of major complications included combined procedures (Relative Risk (RR) 4.81), age (RR 1.01), BMI (RR 1.05), and procedures performed in hospitals (RR 1.36). When examining specifically other aesthetic procedures performed alone or with liposuction, combined procedures had a higher risk of confirmed VTE (RR 5.65), pulmonary complications (RR 2.72), and infection (RR 2.41), but paradoxically lower hematoma risk (RR 0.77) than solitary procedures. Conclusions Liposuction performed alone is a safe procedure with a low risk of major complications. Combined procedures, especially on obese or older individuals, can significantly increase complication rates. The impact of liposuction on the risk of hematoma in combined procedures needs further investigation. Level of Evidence 2 |
| Databáze: | OpenAIRE |
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