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...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2021-11-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003955 |
| _version_ | 1818721441204404224 |
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| 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 |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-17T20:38:47Z |
| format | Article |
| id | doaj.art-11c5c77007784678af5cd68ece018c57 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-17T20:38:47Z |
| publishDate | 2021-11-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-11c5c77007784678af5cd68ece018c572022-12-21T21:33:23ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742021-11-01911e395510.1097/GOX.0000000000003955202111000-00054Abdominal Panniculectomy: An Analysis of Outcomes in 238 Consecutive Patients over 10 YearsDoga Kuruoglu, MD0Cristina A. Salinas, BS1Nho V. Tran, MD2Minh-Doan T. Nguyen, MD, PhD3Jorys Martinez-Jorge, MD4Uldis Bite, MD5Christin A. Harless, MD6Basel Sharaf, MD, FACS7From the * Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minn.† Mayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MinnFrom the * Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minn.From the * Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minn.From the * Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minn.From the * Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minn.From the * Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minn.From the * Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minn.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.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003955 |
| spellingShingle | 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 Plastic and Reconstructive Surgery, Global Open |
| title | 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_short | 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 |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003955 |
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