Abdominal Panniculectomy: An Analysis of Outcomes in 238 Consecutive Patients over 10 Years

Background:. Panniculectomy is a commonly performed body contouring procedure to address skin laxity and its related complications. This study aimed to assess clinical outcomes of abdominal panniculectomy and identify predictors of complications at a tertiary academic healthcare center. Methods:. A...

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Autores principales:	Doga Kuruoglu, MD, Cristina A. Salinas, BS, Nho V. Tran, MD, Minh-Doan T. Nguyen, MD, PhD, Jorys Martinez-Jorge, MD, Uldis Bite, MD, Christin A. Harless, MD, Basel Sharaf, MD, FACS
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/11c5c77007784678af5cd68ece018c57
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spelling	oai:doaj.org-article:11c5c77007784678af5cd68ece018c572021-11-25T07:58:04ZAbdominal Panniculectomy: An Analysis of Outcomes in 238 Consecutive Patients over 10 Years2169-757410.1097/GOX.0000000000003955https://doaj.org/article/11c5c77007784678af5cd68ece018c572021-11-01T00:00:00Zhttp://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003955https://doaj.org/toc/2169-7574Background:. Panniculectomy is a commonly performed body contouring procedure to address skin laxity and its related complications. This study aimed to assess clinical outcomes of abdominal panniculectomy and identify predictors of complications at a tertiary academic healthcare center. Methods:. A retrospective review of patients who underwent panniculectomy between January 2010 and January 2020 at our institution was performed. Exclusion criteria were a history of prior panniculectomy or abdominoplasty. Patient characteristics and clinical outcomes were collected. Univariate and multivariable analyses were performed to assess the risk factors of complications. Results:. The mean age in the included 238 patients was 51.7 ± 12.7 years, and the mean body mass index (BMI) at the time of panniculectomy was 33 ± 7.5 kg/m2. Median resection weight was 2.7 kg (range: 0.15–14.6) and median length of hospital stay was 2 days (range: 0–24). Mean follow-up time was 50 ± 37 months. The rate of major complications was 22.3%. Revision surgery was performed in 3.4% of the cases. Multivariable analyses demonstrated that increase in BMI (P = 0.007) and active smoking (P = 0.026) were significantly associated with increased odds of major complication, and increase in BMI (P = 0.0004), history of venous thromboembolism (P = 0.034) and having a concomitant ventral hernia repair (P = 0.0044) were significantly associated with having a length of hospital stay of 3 days or more. Conclusions:. Panniculectomy is generally safe to perform, with major postoperative complication rate of 22.3% in our series. Increase in BMI and active smoking were significantly associated with having a major complication. Higher BMI, concomitant hernia repair, and a history of venous thromboembolism were associated with length of hospital stay of 3 days or more.Doga Kuruoglu, MDCristina A. Salinas, BSNho V. Tran, MDMinh-Doan T. Nguyen, MD, PhDJorys Martinez-Jorge, MDUldis Bite, MDChristin A. Harless, MDBasel Sharaf, MD, FACSWolters KluwerarticleSurgeryRD1-811ENPlastic and Reconstructive Surgery, Global Open, Vol 9, Iss 11, p e3955 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 Doga Kuruoglu, MD Cristina A. Salinas, BS Nho V. Tran, MD Minh-Doan T. Nguyen, MD, PhD Jorys Martinez-Jorge, MD Uldis Bite, MD Christin A. Harless, MD Basel Sharaf, MD, FACS Abdominal Panniculectomy: An Analysis of Outcomes in 238 Consecutive Patients over 10 Years
description	Background:. Panniculectomy is a commonly performed body contouring procedure to address skin laxity and its related complications. This study aimed to assess clinical outcomes of abdominal panniculectomy and identify predictors of complications at a tertiary academic healthcare center. Methods:. A retrospective review of patients who underwent panniculectomy between January 2010 and January 2020 at our institution was performed. Exclusion criteria were a history of prior panniculectomy or abdominoplasty. Patient characteristics and clinical outcomes were collected. Univariate and multivariable analyses were performed to assess the risk factors of complications. Results:. The mean age in the included 238 patients was 51.7 ± 12.7 years, and the mean body mass index (BMI) at the time of panniculectomy was 33 ± 7.5 kg/m2. Median resection weight was 2.7 kg (range: 0.15–14.6) and median length of hospital stay was 2 days (range: 0–24). Mean follow-up time was 50 ± 37 months. The rate of major complications was 22.3%. Revision surgery was performed in 3.4% of the cases. Multivariable analyses demonstrated that increase in BMI (P = 0.007) and active smoking (P = 0.026) were significantly associated with increased odds of major complication, and increase in BMI (P = 0.0004), history of venous thromboembolism (P = 0.034) and having a concomitant ventral hernia repair (P = 0.0044) were significantly associated with having a length of hospital stay of 3 days or more. Conclusions:. Panniculectomy is generally safe to perform, with major postoperative complication rate of 22.3% in our series. Increase in BMI and active smoking were significantly associated with having a major complication. Higher BMI, concomitant hernia repair, and a history of venous thromboembolism were associated with length of hospital stay of 3 days or more.
format	article
author	Doga Kuruoglu, MD Cristina A. Salinas, BS Nho V. Tran, MD Minh-Doan T. Nguyen, MD, PhD Jorys Martinez-Jorge, MD Uldis Bite, MD Christin A. Harless, MD Basel Sharaf, MD, FACS
author_facet	Doga Kuruoglu, MD Cristina A. Salinas, BS Nho V. Tran, MD Minh-Doan T. Nguyen, MD, PhD Jorys Martinez-Jorge, MD Uldis Bite, MD Christin A. Harless, MD Basel Sharaf, MD, FACS
author_sort	Doga Kuruoglu, MD
title	Abdominal Panniculectomy: An Analysis of Outcomes in 238 Consecutive Patients over 10 Years
title_short	Abdominal Panniculectomy: An Analysis of Outcomes in 238 Consecutive Patients over 10 Years
title_full	Abdominal Panniculectomy: An Analysis of Outcomes in 238 Consecutive Patients over 10 Years
title_fullStr	Abdominal Panniculectomy: An Analysis of Outcomes in 238 Consecutive Patients over 10 Years
title_full_unstemmed	Abdominal Panniculectomy: An Analysis of Outcomes in 238 Consecutive Patients over 10 Years
title_sort	abdominal panniculectomy: an analysis of outcomes in 238 consecutive patients over 10 years
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/11c5c77007784678af5cd68ece018c57
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Abdominal Panniculectomy: An Analysis of Outcomes in 238 Consecutive Patients over 10 Years

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