The Edmonton Obesity Staging System Predicts Postoperative Complications After Abdominoplasty

Abstract

Background This study investigates the relationship between Edmonton Obesity Staging System (EOSS) and the occurrence of postoperative complications after abdominoplasty in massive weight loss patients. Methods A single-institution retrospective review of patients undergoing abdominoplasty between 2009 and 2019 after massive weight loss. Demographic data, laboratory findings, known risk factors for postoperative complications, as well as data on major and minor complications were extracted from the patient charts. Logistic regression models were used to investigate the relationship between the variables. Results Four hundred and five patients were included in the study. The prevalence of EOSS stages was: 0 (no comorbidities, N = 151, 37%), 1 (mild conditions, N = 40, 10%), 2 (moderate conditions, N = 149, 36%) and 3 (severe conditions, N = 70, 17%). Regression analysis showed that, controlling for body mass index (BMI), BMI Δ (maximal BMI − BMI at presentation), bariatric surgery, volume of resected tissue, and duration of surgery, EOSS stage significantly associated with the occurrence of postoperative complications. Compared with EOSS stage 0, EOSS stages 2 and 3 patients were associated with significantly more minor and major complications, respectively. The volume of resected tissue, BMI Δ, and age were associated with the occurrence of major complications. A regression model of comorbidities comprising the EOSS revealed a significant association of variables diabetes mellitus and hypertension with the occurrence of postoperative complications. Conclusions Edmonton Obesity Staging System is a robust predictor of postoperative complications in abdominoplasty.

Impacto das técnicas cirúrgicas na incidência de complicações em abdominoplastia: uma análise abrangente

“…Essas descobertas reforçam a importância de uma avaliação cuidadosa antes do procedimento, considerando fatores de risco individuais que podem afetar o resultado da cirurgia. Com isso, o Edmonton Obesity Staging System surge como um preditor eficaz de complicações pós-operatórias, sugerindo que ferramentas de avaliação robustas são essenciais para a gestão pré-operatória em pacientes submetidos a abdominoplastia, visando minimizar riscos e melhorar os resultados cirúrgicos (Paep et al, 2021;Simunovic et al, 2021). É de suma importância que os cirurgiões e todos os profissionais envolvidos na realização de procedimentos de abdominoplastia estejam constantemente atualizados sobre as melhores práticas e inovações no campo.…”