Obese and Nonobese Patients

Rogliani, M.; Silvi, E; Labardi, Lara; Maggiulli, Federica; Cervelli, Valerio

doi:10.1097/01.sap.0000221460.43861.6b

Cited by 69 publications

(10 citation statements)

References 17 publications

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“…Immunosuppressed states, malnutrition, and diabetes are known risk factors for any kind of infectious process. Particularly, for abdominoplasties, obese and overweight patients seem to have an elevated infection risk (Level of Evidence: Prognosis, IV [ 25 ]) [ 26 ].…”

Section: Resultsmentioning

confidence: 99%

“…The risk factors for haematoma as a complication of abdominoplasty, as for any other surgical procedure involving the abdominal wall, are hypertension, unsuccessful haemostasis during the operation, and congenital and acquired coagulopathies. Moreover, a higher incidence of haematoma has been demonstrated in patients with a higher body mass index (Level of Evidence: Prognosis, IV [ 43 ]) [ 25 ].…”

Section: Resultsmentioning

confidence: 99%

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Managing Complications in Abdominoplasty: A Literature Review

2017

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BackgroundAbdominoplasty, with or without liposuction, is among the most frequently performed aesthetic procedures. Its main objective is to improve the body contour by means of excising redundant skin and fat tissue. Although abdominoplasty is considered a safe procedure with high satisfaction rates, intraoperative and postoperative complications can become a challenge for the surgical team. The aim of this article is to offer a synopsis of the most common complications arising after abdominoplasty, along with evidence-based guidelines about how to prevent and treat them.MethodsA systematic MEDLINE search strategy was designed using appropriate Medical Subject Headings (MeSH) terms, and references were scanned for further relevant articles.ResultsAccording to the published case series, local complications are considerably more common than complications with systemic repercussions. Approximately 10% to 20% of patients suffer a local complication following abdominoplasty, while fewer than 1% suffer a systemic complication. Prevention and management strategies are critically discussed for complications including seroma, haematoma, infection, skin necrosis, suture extrusions, hypertrophic scars, neurological symptoms, umbilical anomalies, deep venous thrombosis and pulmonary thromboembolism, respiratory distress, and death.ConclusionsThe complications of abdominoplasty vary in severity and in the impact they have on the aesthetic outcomes. Recommendations for prevention and management are based on various levels of evidence, with a risk of observer bias. However, most complications can be treated appropriately following the current standards, with satisfactory results.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Managing Complications in Abdominoplasty: A Literature Review

2017

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“…Studies show that even a 10-kilogram weight loss in obese patients can decrease diabetes-related morbidity and mortality by 30% [4, 7, 24]. Improvements are significant in disease processes involving endocrine (diabetes), cardiovascular (hypertension, hyperlipidemia, and coronary artery disease), rheumatic, and hypercoagulation disorders (deep vein thrombosis and pulmonary embolism) [2, 3, 17, 24, 44–46]. Reductions in the severity of symptoms relating to sleep apnea and depression have also been observed [2, 3, 47].…”

Section: Discussionmentioning

confidence: 99%

Obesity and Surgical Wound Healing: A Current Review

et al. 2014

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Objective. The correlation between obesity and deficient wound healing has long been established. This review examines the current literature on the mechanisms involved in obesity-related perioperative morbidity. Methods. A literature search was performed using Medline, PubMed, Cochrane Library, and Internet searches. Keywords used include obesity, wound healing, adipose healing, and bariatric and surgical complications. Results. Substantial evidence exists demonstrating that obesity is associated with a number of postoperative complications. Specifically in relation to wound healing, explanations include inherent anatomic features of adipose tissue, vascular insufficiencies, cellular and composition modifications, oxidative stress, alterations in immune mediators, and nutritional deficiencies. Most recently, advances made in the field of gene array have allowed researchers to determine a few plausible alterations and deficiencies in obese individuals that contribute to their increased risk of morbidity and mortality, especially wound complications. Conclusion. While the literature discusses how obesity may negatively affect health on various of medical fronts, there is yet to be a comprehensive study detailing all the mechanisms involved in obesity-related morbidities in their entirety. Improved knowledge and understanding of obesity-induced physiological, cellular, molecular, and chemical changes will facilitate better assessments of surgical risks and outcomes and create efficient treatment protocols for improved patient care of the obese patient population.

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“…A multitude of risk factors has been proposed in the plastic surgery literature, which increased the rate of complications, including smoking [ 13 ], obesity [ 8 ], hypertension [ 14 ], and previous abdominal surgery (gynecologic versus weight-loss procedure) [ 15 ]. Obese patients (BMI > 30 kg/m 2 ) had an increased total, major, and minor complication rate as compared with nonobese patients (BMI < 30 kg/m 2 ) [ 7 , 16 ]. These obese patients are bariatric patients who remain obese despite prior weight-reduction surgery [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Analysis of Complications in Postbariatric Abdominoplasty: Our Experience

Grieco

Grignaffini

Simonacci

et al. 2015

Plastic Surgery International

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Abdominoplasty is one of the most popular body-contouring procedures. It is associated with a significant number of complications: the most common ones are seroma, hematoma, infection, wound-healing problems, and skin flap necrosis. From January 2012 to December 2014, 25 patients (18 women and 7 men) (mean age: 51 years) underwent abdominoplastic surgery at the Plastic Surgery Section, Department of Surgical Sciences, University of Parma, Italy. All patients reported a weight loss between 15 kg and 47 kg. All of the of 25 patients were included in the study; minor and major complications were seen in 17 (68%) and 8 (32%) patients, respectively. The percentage of complications in our patients was as follows: 9 patients with seroma (36%); 4 patients with wound dehiscence with delayed wound healing (16%); 3 cases with hematoma (12%); 2 patients with postoperative bleeding (8%); 1 patient (4%) with an umbilical necrosis; 1 patient (4%) with a deep vein thrombosis; 3 patients with infected seroma (12%); and 2 patients with wound infection (8%). There were no cases of postoperative mortality. The aim of this study is to analyze our complications in postbariatric abdominoplasty.

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Obese and Nonobese Patients

Cited by 69 publications

References 17 publications

Managing Complications in Abdominoplasty: A Literature Review

Managing Complications in Abdominoplasty: A Literature Review

Obesity and Surgical Wound Healing: A Current Review

Analysis of Complications in Postbariatric Abdominoplasty: Our Experience

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