Complications des abdominoplasties : particularités des patients post-bariatriques au sein d’une série de 238 patients

Lievain, L.; Aktouf, A.; Auquit-Auckbur, I.; Coquerel-Béghin, D.; Scotté, Michel; Milliez, P.-Y.

doi:10.1016/j.anplas.2014.08.013

Cited by 29 publications

(16 citation statements)

References 32 publications

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“…The authors found that the fixed-effects pooled risk ratio of complication development after body-contouring surgery when comparing post-bariatric and non-bariatric patients was 1.60 (95% confidence interval [CI], 1.30–1.96; p <0.00001; I 2 =48%) [ 16 ]. The findings of an increased risk of postoperative complications in the bariatric group shown in this meta-analysis have been borne out in other large trials that have followed [ 17 , 18 ].…”

Section: Discussionsupporting

confidence: 59%

Rapid Bodyweight Reduction before Lumbar Fusion Surgery Increased Postoperative Complications

et al. 2020

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To determine the effects of massive weight loss on perioperative complications after lumbar fusion surgery (LFS). Overview of Literature: Patients who are obese are more likely to experience low back pain, which would require LFS. Nonetheless, they have a higher risk of perioperative complication development compared with individuals who are not obese. Methods: Patients who underwent LFS at hospitals that participated in the National Surgical Quality Improvement Program database within the United States between 2005 and 2015. Outcomes included 30-day medical complications, surgical complications, and length of stay (LOS). We analyzed a total of 39,742 patients with the use of the International Classification of Disease, ninth revision codes. The patients were categorized in the following two groups: group 1, individuals with a history of massive weight loss within 6 months before LFS, and group 2, individuals without a history of massive weight loss before surgery. Massive weight loss was defined as loss of 10% of total body weight. Patients with a history of malignancy or chronic disease were excluded from the study. Patients in each group were randomly matched based on age, gender, sex, smoking status, and body mass index. Paired two-tailed Student t-tests were used to compare the outcomes. Results: Of the 39,742 patients identified, 129 (0.32%) met the criteria for inclusion in the weight loss group (WL group) and were successfully matched to individuals in the non-weight loss group (non-WL group). Compared with the non-WL group, the WL group had a significantly longer LOS (9.7 vs. 4.0 days, p<0.05), higher surgical site infections (SSIs) (8.0 vs. 3.0, p<0.05), increased number of blood transfusions (40.0 vs. 20.0, p<0.05), and greater deep vein thrombosis (DVTs) (5.0 and 0.00, p<0.05). Conclusions: On a nationwide scale, rapid weight loss before LFS is associated with a higher rate of postoperative complications, including SSI and DVTs, longer average LOS, and more frequent blood transfusions.

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Section: Discussionsupporting

confidence: 59%

Rapid Bodyweight Reduction before Lumbar Fusion Surgery Increased Postoperative Complications

et al. 2020

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“…Multiple studies and joint registries have reported on outcomes of THA using a wide range of implants. These sources have documented survival rates that exceed 90% at a 10-year follow-up and approach 85% at a 15-year follow-up in patients undergoing THA using a cementless acetabular component with supplementary screw fixation [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] . However, early implant failures necessitating revision surgery continue to occur.…”

Section: Introductionmentioning

confidence: 99%

“…These failures most commonly occur as a result of aseptic loosening, infection, or instability. Aseptic loosening of the hemispherical acetabular components is one of the leading causes of early failure of primary THA necessitating revision THA [5] , [6] , [17] , [18] , [19] . Mean hospital resource utilization for revision THA is significantly higher than primary THA with an estimated $7171 in additional hospital costs [20] .…”

Section: Introductionmentioning

confidence: 99%

Early aseptic loosening of the Tritanium primary acetabular component with screw fixation

et al. 2018

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Ultraporous acetabular components were developed to improve osseointegration and fit for increased longevity and better outcomes after total hip arthroplasty. There is a paucity of literature detailing this acetabular component’s clinical performance, with even less detailing those with screw fixation. We identify 5 patients at our institution who underwent revision total hip arthroplasty for early aseptic acetabular cup loosening of an ultraporous acetabular component known as the Tritanium primary cup with secondary screw fixation. They all presented with groin and hip pain after index surgery and underwent follow-up radiographic examination consistent with component loosening requiring revision surgery. This case series reports on the risk of early acetabular cup loosening and its associated clinical presentation, workup, and surgical management in patients with the Tritanium primary cup augmented with screws.

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“…However, the methods are invasive techniques, which may present a high number of complications, such as bruising, seroma, pain, perforated organs and viscera, as well as with an increased risk of deep vein thrombosis. [10][11][12][13] The demand for minimally invasive procedures that are aimed at reducing abdominal fat has increased by about 137%, while the demand for surgical procedures has decreased by around 16%. 14 Among the minimally invasive techniques, one can mention low-level laser therapy, which has recently also been called photobiomodulation (PBM).…”

Section: Open Accessmentioning

confidence: 99%

Study protocol for the use of photobiomodulation with red or infrared LED on waist circumference reduction: a randomised, double-blind clinical trial

et al. 2020

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IntroductionThe search for non-invasive procedures to reduce localised adiposity in aesthetics clinics has recently been increasing. In this context, procedures, such as cryolipolysis, ultracavitation, photobiomodulation (PBM) and other techniques have been proposed. Some studies have shown that PBM can be used in body contouring. However, there is no standardisation of the protocol. More than that, as in other techniques for reducing adipose tissue, the availability of triacylglycerol may affect the lipid profile in the blood, bringing consequences to the general health of an individual. This work will aim to compare the light wavelengths when using PBM as a technique for reducing the abdominal waist circumference, while also evaluating the efficacy of the method. Changes in the lipid profile in the blood, with a long-term follow-up, will also be appraised.Methods and analysisThis will be a controlled, randomised, double-blind, single-centred clinical trial. 174 patients will be recruited at the Nove de Julho University, Brazil, and then divided into three groups: Group A—RED PBM; Group B—INFRARED PBM; Group C—PLACEBO (Sham) treatment. The treatments will consist of eight sessions, two times a week, for 4 weeks. At each session, the participants will receive 30 minutes PBM (using a radiant exposure of 127 J/cm2), with an abdominal strap containing 4 LED clusters, with 72 devices each, following the indication of randomisation. All of the groups will receive 30 min of Aussie Current, at 4 kHz, modulated at 10 Hz, 40–60 mA. The main outcome of this study will be waist circumference reduction. The secondary variables will be anthropometric data, lipid profile, liver function and adipose tissue thickness, changes in the local microcirculation, and the quality of life and self-esteem. The analyses will be performed at four stages of the research, D0, end of the eighth session (D30), 15 days after the last session (FU15), 90 days after the last session (FU90) and 180 days after the last session (FU180).Ethics and disseminationThe Ethics Committee of the Nove de Julho University, Brazil, approved the modified version of this project under No. 3414146 on 26 June 2019. This study is not yet recruiting. The results obtained will be published in a peer-reviewed journal in the related field.Trial registration numberBrazilian Registry of Clinical Trials—ReBec (RBR-9bwxcx).

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Complications des abdominoplasties : particularités des patients post-bariatriques au sein d’une série de 238 patients

Cited by 29 publications

References 32 publications

Rapid Bodyweight Reduction before Lumbar Fusion Surgery Increased Postoperative Complications

Rapid Bodyweight Reduction before Lumbar Fusion Surgery Increased Postoperative Complications

Early aseptic loosening of the Tritanium primary acetabular component with screw fixation

Study protocol for the use of photobiomodulation with red or infrared LED on waist circumference reduction: a randomised, double-blind clinical trial

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