Postabdominoplasty Wound Dehiscence in Bariatric Patients: Biliopancreatic Diversion Versus Gastric Bypass: A Preliminary Study
| Autor: | Tambasco, D, D'Ettorre, M, Gentileschi, S, Colletti, R, Mingrone, Geltrude, Bracaglia, R., Gentileschi, Stefano |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Sleeve gastrectomy bartiatric surgery medicine.medical_treatment Population Gastric Bypass Dehiscence bartiatric surgery abdominoplsty symbols.namesake Risk Factors Outcome Assessment Health Care Surgical Wound Dehiscence medicine Humans education Biliopancreatic Diversion Fisher's exact test Aged Retrospective Studies education.field_of_study Abdominoplasty business.industry Wound dehiscence Incidence Settore MED/09 - MEDICINA INTERNA Surgical wound Middle Aged medicine.disease abdominoplsty Surgery Anesthesia symbols Female business |
| Zdroj: | Annals of plastic surgery. 75(6) |
| ISSN: | 1536-3708 |
| Popis: | Background Surgical procedures with an extended follow-up and therefore recognized as safe in literature are classified into 2 categories: procedures limiting the introduction of food mechanically (restrictive interventions such as adjustable gastric banding, vertical banded gastroplasty, and sleeve gastrectomy) or functionally (mini gastric bypass or gastric bypass) and procedures limiting absorption (mainly biliopancreatic diversion [BPD]). Materials and methods Seventy-nine patients who underwent postbariatric abdominoplasty to correct serious flaws resulting from weight loss surgery were included in this retrospective study. Dehiscence of the surgical wound was carefully investigated between the population previously submitted to BPD and gastric bypass. The data were analyzed by correlating the incidence of postoperative dehiscence by Fisher exact test, with a statistical significance level of P Results Among the 42 abdominoplasties after BPD, dehiscence rate was 33% (14 patients), whereas in the group of 37 patients who underwent gastric bypass, the occurrence of dehiscence was 8% (3 patients).The Fisher exact test highlighted previously performed BPD as statistically significant for the onset of postoperative dehiscence (P=0.012). Conclusions There is a great need to validate these data on large or multicentric studies. The previous bariatric surgery procedure may play a role similar to so many other widely investigated risk factors such as smoking and body mass index, and some categories of patients should require even more attention in the preoperative, intraoperative, and postoperative management. |
| Databáze: | OpenAIRE |
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