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LigaSure Impact™ reduces complications after abdominoplasty in weight loss patients

PURPOSE: Bariatric surgery is on the rise worldwide. With the desired weight loss after bariatric surgery, patients frequently develop massive skin flaps resulting in the need of abdominoplasty. In these patients, this surgical technique is frequently associated with perioperative complications. Str...

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Autores principales: Radunz, Sonia, Salem, Haider, Houben, Philipp, Pascher, Andreas, Büsing, Martin, Utech, Markus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8847208/
https://www.ncbi.nlm.nih.gov/pubmed/34463791
http://dx.doi.org/10.1007/s00423-021-02299-2
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author Radunz, Sonia
Salem, Haider
Houben, Philipp
Pascher, Andreas
Büsing, Martin
Utech, Markus
author_facet Radunz, Sonia
Salem, Haider
Houben, Philipp
Pascher, Andreas
Büsing, Martin
Utech, Markus
author_sort Radunz, Sonia
collection PubMed
description PURPOSE: Bariatric surgery is on the rise worldwide. With the desired weight loss after bariatric surgery, patients frequently develop massive skin flaps resulting in the need of abdominoplasty. In these patients, this surgical technique is frequently associated with perioperative complications. Strategies to minimize complications are sought after. The objective of our study was to compare two different dissection techniques and their impact on postoperative outcome. METHODS: We included 66 patients in our study who underwent abdominoplasty after massive weight loss following bariatric surgery. In group 1, abdominoplasty was performed using the conventional technique of diathermia (n = 20). In group 2, abdominoplasty was performed using LigaSure Impact™ (n = 46). The duration of the surgical procedure and perioperative complications were recorded as primary endpoints. Secondary endpoints were length of hospital stay and assessment of additional risk factors. RESULTS: Baseline characteristics were comparable between groups. The duration of surgery was significantly shorter in group 2. Postoperative complications were significantly less frequent in group 2 (p = 0.0035). Additional risk factors, e.g., smoking and diabetes mellitus, were not associated with increased rates of perioperative complications. CONCLUSIONS: The choice of technical device for dissection in abdominoplasty alone will not guarantee minimized complication rates. Yet, the utilization of LigaSure Impact™ in refined surgical techniques may facilitate reduced rates of complications, especially wound infections, and a shortened duration of surgery.
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spelling pubmed-88472082022-02-23 LigaSure Impact™ reduces complications after abdominoplasty in weight loss patients Radunz, Sonia Salem, Haider Houben, Philipp Pascher, Andreas Büsing, Martin Utech, Markus Langenbecks Arch Surg Original Article PURPOSE: Bariatric surgery is on the rise worldwide. With the desired weight loss after bariatric surgery, patients frequently develop massive skin flaps resulting in the need of abdominoplasty. In these patients, this surgical technique is frequently associated with perioperative complications. Strategies to minimize complications are sought after. The objective of our study was to compare two different dissection techniques and their impact on postoperative outcome. METHODS: We included 66 patients in our study who underwent abdominoplasty after massive weight loss following bariatric surgery. In group 1, abdominoplasty was performed using the conventional technique of diathermia (n = 20). In group 2, abdominoplasty was performed using LigaSure Impact™ (n = 46). The duration of the surgical procedure and perioperative complications were recorded as primary endpoints. Secondary endpoints were length of hospital stay and assessment of additional risk factors. RESULTS: Baseline characteristics were comparable between groups. The duration of surgery was significantly shorter in group 2. Postoperative complications were significantly less frequent in group 2 (p = 0.0035). Additional risk factors, e.g., smoking and diabetes mellitus, were not associated with increased rates of perioperative complications. CONCLUSIONS: The choice of technical device for dissection in abdominoplasty alone will not guarantee minimized complication rates. Yet, the utilization of LigaSure Impact™ in refined surgical techniques may facilitate reduced rates of complications, especially wound infections, and a shortened duration of surgery. Springer Berlin Heidelberg 2021-08-31 2022 /pmc/articles/PMC8847208/ /pubmed/34463791 http://dx.doi.org/10.1007/s00423-021-02299-2 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Radunz, Sonia
Salem, Haider
Houben, Philipp
Pascher, Andreas
Büsing, Martin
Utech, Markus
LigaSure Impact™ reduces complications after abdominoplasty in weight loss patients
title LigaSure Impact™ reduces complications after abdominoplasty in weight loss patients
title_full LigaSure Impact™ reduces complications after abdominoplasty in weight loss patients
title_fullStr LigaSure Impact™ reduces complications after abdominoplasty in weight loss patients
title_full_unstemmed LigaSure Impact™ reduces complications after abdominoplasty in weight loss patients
title_short LigaSure Impact™ reduces complications after abdominoplasty in weight loss patients
title_sort ligasure impact™ reduces complications after abdominoplasty in weight loss patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8847208/
https://www.ncbi.nlm.nih.gov/pubmed/34463791
http://dx.doi.org/10.1007/s00423-021-02299-2
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