Post-Bariatric Abdominoplasty: Analysis of 406 Cases With Focus on Risk Factors and Complications
| Autor: | Marcus Kiehlmann, Diana Jung, Robert Sader, Torsten Schlosshauer, Ulrich M. Rieger |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Umbilicus (mollusc) medicine.medical_treatment Bariatric Surgery 030230 surgery Resection 03 medical and health sciences 0302 clinical medicine Postoperative Complications Lipectomy Risk Factors medicine Panniculectomy Humans Retrospective Studies Abdominoplasty business.industry Retrospective cohort study General Medicine medicine.disease Comorbidity Obesity Surgery 030220 oncology & carcinogenesis Female business Body mass index |
| Zdroj: | Aesthetic surgery journal. 41(1) |
| ISSN: | 1527-330X |
| Popis: | Background Post-bariatric patients present a surgical challenge within abdominoplasty because of residual obesity and major comorbidities. In this study, we analyzed complications following abdominoplasty in post-bariatric patients and evaluated potential risk factors associated with these complications. Objectives The authors sought to determine the complications and risk factors following abdominoplasty in post-bariatric patients. Methods A retrospective study of patients who underwent abdominoplasty was performed from January 2009 to December 2018 at our institution. Variables analyzed were sex, age, body mass index (BMI), smoking, surgical technique, operative time, resection weight, drain output, and complications. Results A total of 406 patients were included in this study (320 female and 86 male) with a mean age of 44.4 years and a BMI of 30.6 kg/m2. Abdominoplasty techniques consisted of traditional (64.3%), fleur-de-lis technique (27.3%), and panniculectomy without umbilical displacement (8.4%). Overall complications recorded were 41.9%, the majority of these being wound-healing problems (32%). Minor and major complications were found in 29.1% and 12.8% of patients, respectively. A BMI value of ≥30 kg/m2 was associated with an increased risk for wound-healing problems (P = 0.001). The frequency of total complications was significantly related to age (P = 0.007), BMI (P = 0.004), and resection weight (P = 0.001). Abdominoplasty technique tended to influence total complications. Conclusions This study demonstrates in a fairly large sample of post-bariatric patients (n = 406) that abdominoplasty alone can be performed safely, with an acceptable complication rate. Age, BMI, and resection weight are shown to be significant risk factors for total complications. The role of surgical technique needs to be evaluated further. Level of Evidence: 4 |
| Databáze: | OpenAIRE |
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