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BMI and Revision Surgery for Abdominoplasties: Complication Definitions Revisited Using the Clavien-Dindo Classification

After body contouring surgery of the lower trunk (CSLT), the definition, rate (4%–70%), and documentation of complications vary. OBJECTIVES: We analyzed the effect of risk factors on the outcome based on the Clavien-Dindo classification (CDC) after CSLT surgery and polled postoperative satisfaction...

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Autores principales: Reischies, Frederike M. J., Tiefenbacher, Fabian, Holzer-Geissler, Judith C. J., Wolfsberger, Christina, Eylert, Gertraud, Mischitz, Madeleine, Pregartner, Gudrun, Meikl, Tobias, Winter, Raimund, Kamolz, Lars-Peter, Lumenta, David B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9925103/
https://www.ncbi.nlm.nih.gov/pubmed/36798721
http://dx.doi.org/10.1097/GOX.0000000000004411
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author Reischies, Frederike M. J.
Tiefenbacher, Fabian
Holzer-Geissler, Judith C. J.
Wolfsberger, Christina
Eylert, Gertraud
Mischitz, Madeleine
Pregartner, Gudrun
Meikl, Tobias
Winter, Raimund
Kamolz, Lars-Peter
Lumenta, David B.
author_facet Reischies, Frederike M. J.
Tiefenbacher, Fabian
Holzer-Geissler, Judith C. J.
Wolfsberger, Christina
Eylert, Gertraud
Mischitz, Madeleine
Pregartner, Gudrun
Meikl, Tobias
Winter, Raimund
Kamolz, Lars-Peter
Lumenta, David B.
author_sort Reischies, Frederike M. J.
collection PubMed
description After body contouring surgery of the lower trunk (CSLT), the definition, rate (4%–70%), and documentation of complications vary. OBJECTIVES: We analyzed the effect of risk factors on the outcome based on the Clavien-Dindo classification (CDC) after CSLT surgery and polled postoperative satisfaction among patients. METHODS: All patients undergoing CSLT from 2001 to 2016 were included and were classified according to the CDC for postoperative events. Statistical analysis included proportional odds logistic regression analysis. We polled patients to grade their satisfaction with the postoperative result and whether they would have the operation performed again. RESULTS: A total of 265 patients were included: 60 (22.6%), 25 (9.4%), 28 (10.6%), and 21 (7.9%) were in CDC grades I, II, IIIa, and IIIb, respectively. A high preoperative body mass index significantly increased the odds for a postoperative event requiring revision surgery under general anesthesia (CDC grade IIIb, odds ratio 0.93, 95% confidence interval 0.89–0.97, P = 0.001). One-hundred twenty-eight patients (48.3%) participated in the poll: 101 (78.9%) were either happy or content with the postoperative results, and 117 (91.4%) would have the procedure performed again, including all nine patients with CDC grade IIIb. CONCLUSIONS: Our results confirm that a high body mass index is a statistically significant risk factor for requiring major revision surgery after CSLT. Despite being a complication prone intervention, postoperative satisfaction after CSLT was ranked favorably in our sample. We recommend that the CDC be used in all surgical specialties to evaluate complications and permit future comparability of pooled data.
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spelling pubmed-99251032023-02-15 BMI and Revision Surgery for Abdominoplasties: Complication Definitions Revisited Using the Clavien-Dindo Classification Reischies, Frederike M. J. Tiefenbacher, Fabian Holzer-Geissler, Judith C. J. Wolfsberger, Christina Eylert, Gertraud Mischitz, Madeleine Pregartner, Gudrun Meikl, Tobias Winter, Raimund Kamolz, Lars-Peter Lumenta, David B. Plast Reconstr Surg Glob Open Cosmetic After body contouring surgery of the lower trunk (CSLT), the definition, rate (4%–70%), and documentation of complications vary. OBJECTIVES: We analyzed the effect of risk factors on the outcome based on the Clavien-Dindo classification (CDC) after CSLT surgery and polled postoperative satisfaction among patients. METHODS: All patients undergoing CSLT from 2001 to 2016 were included and were classified according to the CDC for postoperative events. Statistical analysis included proportional odds logistic regression analysis. We polled patients to grade their satisfaction with the postoperative result and whether they would have the operation performed again. RESULTS: A total of 265 patients were included: 60 (22.6%), 25 (9.4%), 28 (10.6%), and 21 (7.9%) were in CDC grades I, II, IIIa, and IIIb, respectively. A high preoperative body mass index significantly increased the odds for a postoperative event requiring revision surgery under general anesthesia (CDC grade IIIb, odds ratio 0.93, 95% confidence interval 0.89–0.97, P = 0.001). One-hundred twenty-eight patients (48.3%) participated in the poll: 101 (78.9%) were either happy or content with the postoperative results, and 117 (91.4%) would have the procedure performed again, including all nine patients with CDC grade IIIb. CONCLUSIONS: Our results confirm that a high body mass index is a statistically significant risk factor for requiring major revision surgery after CSLT. Despite being a complication prone intervention, postoperative satisfaction after CSLT was ranked favorably in our sample. We recommend that the CDC be used in all surgical specialties to evaluate complications and permit future comparability of pooled data. Lippincott Williams & Wilkins 2023-02-13 /pmc/articles/PMC9925103/ /pubmed/36798721 http://dx.doi.org/10.1097/GOX.0000000000004411 Text en Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Cosmetic
Reischies, Frederike M. J.
Tiefenbacher, Fabian
Holzer-Geissler, Judith C. J.
Wolfsberger, Christina
Eylert, Gertraud
Mischitz, Madeleine
Pregartner, Gudrun
Meikl, Tobias
Winter, Raimund
Kamolz, Lars-Peter
Lumenta, David B.
BMI and Revision Surgery for Abdominoplasties: Complication Definitions Revisited Using the Clavien-Dindo Classification
title BMI and Revision Surgery for Abdominoplasties: Complication Definitions Revisited Using the Clavien-Dindo Classification
title_full BMI and Revision Surgery for Abdominoplasties: Complication Definitions Revisited Using the Clavien-Dindo Classification
title_fullStr BMI and Revision Surgery for Abdominoplasties: Complication Definitions Revisited Using the Clavien-Dindo Classification
title_full_unstemmed BMI and Revision Surgery for Abdominoplasties: Complication Definitions Revisited Using the Clavien-Dindo Classification
title_short BMI and Revision Surgery for Abdominoplasties: Complication Definitions Revisited Using the Clavien-Dindo Classification
title_sort bmi and revision surgery for abdominoplasties: complication definitions revisited using the clavien-dindo classification
topic Cosmetic
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9925103/
https://www.ncbi.nlm.nih.gov/pubmed/36798721
http://dx.doi.org/10.1097/GOX.0000000000004411
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