The Effect of Hypothyroidism on Surgical Outcomes Postabdominoplasty: A Case-control Study
Background:. Hypothyroidism is common in surgical patients. The objective of this study is to determine the rate of short- and long-term complications after abdominoplasty for patients treated for hypothyroidism. Methods:. This is a retrospective chart review that enrolled consecutive patients under...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2022-02-01
|
| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004127 |
| _version_ | 1818501450655858688 |
|---|---|
| author | Rawan ElAbd, MD Becher Alhallabi, MD, FRCS (C) Salman AlSabah, MD, FRCS (C), FACS Hisham Burezq, MD, FRCS (C), FAAP |
| author_facet | Rawan ElAbd, MD Becher Alhallabi, MD, FRCS (C) Salman AlSabah, MD, FRCS (C), FACS Hisham Burezq, MD, FRCS (C), FAAP |
| author_sort | Rawan ElAbd, MD |
| collection | DOAJ |
| description | Background:. Hypothyroidism is common in surgical patients. The objective of this study is to determine the rate of short- and long-term complications after abdominoplasty for patients treated for hypothyroidism.
Methods:. This is a retrospective chart review that enrolled consecutive patients undergoing abdominoplasty across a 5-year period. Cases had a preoperative diagnosis of overt hypothyroidism requiring thyroid replacement therapy, whereas controls are without thyroid disease. Groups were matched by age, gender, comorbidity status (hypertension and diabetes), smoking, and center of surgery in a 3:1 ratio.
Results:. There was a total of 61 cases and 183 matched controls followed up for 18 months; most were women (n = 240, 98%) and between the ages of 31 and 45 years (n = 142, 58%). There were no significant differences between cases and controls in any of the sociodemographic and comorbidity status except for current BMI, which was higher for cases than the control (P < 0.05). The proportions of all other infections (4.5% versus 1.6%), wound dehiscence (4.7% versus 0.8%), dermatitis (4.7% versus 1.6%), and necrosis (2.3% versus 0%), hematoma (4.7% versus 2.5%) and seroma (2.3% versus 1.6%) formation were higher in cases but not significant (P > 0.05). LTCs were not statistically different across groups (P > 0.05).
Conclusion:. This study did not find a significantly different higher risk of complications after abdominoplasty for patients treated for hypothyroidism. |
| first_indexed | 2024-12-10T20:56:21Z |
| format | Article |
| id | doaj.art-c983244299ca45d6a07cdee71a76fe98 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-10T20:56:21Z |
| publishDate | 2022-02-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-c983244299ca45d6a07cdee71a76fe982022-12-22T01:33:57ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742022-02-01102e412710.1097/GOX.0000000000004127202202000-00038The Effect of Hypothyroidism on Surgical Outcomes Postabdominoplasty: A Case-control StudyRawan ElAbd, MD0Becher Alhallabi, MD, FRCS (C)1Salman AlSabah, MD, FRCS (C), FACS2Hisham Burezq, MD, FRCS (C), FAAP3From the * Department of Surgery, Faculty of Medicine, Kuwait University, Kuwait† Division of Plastic and Reconstructive Surgery, McGill University Health Centre, Montreal, QC, CanadaFrom the * Department of Surgery, Faculty of Medicine, Kuwait University, Kuwait¶ AlBabtain Centre for Burns and Plastic Surgery, Shuwaikh City, Kuwait.Background:. Hypothyroidism is common in surgical patients. The objective of this study is to determine the rate of short- and long-term complications after abdominoplasty for patients treated for hypothyroidism. Methods:. This is a retrospective chart review that enrolled consecutive patients undergoing abdominoplasty across a 5-year period. Cases had a preoperative diagnosis of overt hypothyroidism requiring thyroid replacement therapy, whereas controls are without thyroid disease. Groups were matched by age, gender, comorbidity status (hypertension and diabetes), smoking, and center of surgery in a 3:1 ratio. Results:. There was a total of 61 cases and 183 matched controls followed up for 18 months; most were women (n = 240, 98%) and between the ages of 31 and 45 years (n = 142, 58%). There were no significant differences between cases and controls in any of the sociodemographic and comorbidity status except for current BMI, which was higher for cases than the control (P < 0.05). The proportions of all other infections (4.5% versus 1.6%), wound dehiscence (4.7% versus 0.8%), dermatitis (4.7% versus 1.6%), and necrosis (2.3% versus 0%), hematoma (4.7% versus 2.5%) and seroma (2.3% versus 1.6%) formation were higher in cases but not significant (P > 0.05). LTCs were not statistically different across groups (P > 0.05). Conclusion:. This study did not find a significantly different higher risk of complications after abdominoplasty for patients treated for hypothyroidism.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004127 |
| spellingShingle | Rawan ElAbd, MD Becher Alhallabi, MD, FRCS (C) Salman AlSabah, MD, FRCS (C), FACS Hisham Burezq, MD, FRCS (C), FAAP The Effect of Hypothyroidism on Surgical Outcomes Postabdominoplasty: A Case-control Study Plastic and Reconstructive Surgery, Global Open |
| title | The Effect of Hypothyroidism on Surgical Outcomes Postabdominoplasty: A Case-control Study |
| title_full | The Effect of Hypothyroidism on Surgical Outcomes Postabdominoplasty: A Case-control Study |
| title_fullStr | The Effect of Hypothyroidism on Surgical Outcomes Postabdominoplasty: A Case-control Study |
| title_full_unstemmed | The Effect of Hypothyroidism on Surgical Outcomes Postabdominoplasty: A Case-control Study |
| title_short | The Effect of Hypothyroidism on Surgical Outcomes Postabdominoplasty: A Case-control Study |
| title_sort | effect of hypothyroidism on surgical outcomes postabdominoplasty a case control study |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004127 |
| work_keys_str_mv | AT rawanelabdmd theeffectofhypothyroidismonsurgicaloutcomespostabdominoplastyacasecontrolstudy AT becheralhallabimdfrcsc theeffectofhypothyroidismonsurgicaloutcomespostabdominoplastyacasecontrolstudy AT salmanalsabahmdfrcscfacs theeffectofhypothyroidismonsurgicaloutcomespostabdominoplastyacasecontrolstudy AT hishamburezqmdfrcscfaap theeffectofhypothyroidismonsurgicaloutcomespostabdominoplastyacasecontrolstudy AT rawanelabdmd effectofhypothyroidismonsurgicaloutcomespostabdominoplastyacasecontrolstudy AT becheralhallabimdfrcsc effectofhypothyroidismonsurgicaloutcomespostabdominoplastyacasecontrolstudy AT salmanalsabahmdfrcscfacs effectofhypothyroidismonsurgicaloutcomespostabdominoplastyacasecontrolstudy AT hishamburezqmdfrcscfaap effectofhypothyroidismonsurgicaloutcomespostabdominoplastyacasecontrolstudy |