TY - JOUR
T1 - Complications of abdominal contouring surgery in obese patients
T2 - Current status
AU - Zuelzer, Helen B.
AU - Ratliff, Catherine R.
AU - Drake, David B.
PY - 2010/5
Y1 - 2010/5
N2 - Medical records of 122 patients who underwent an abdominoplasty or panniculectomy from 2003 to 2008 were reviewed to determine current rates of wound complications associated with these procedures in the presence of obesity. An additional aim was to determine current rates of complications as compared with those found 10 years ago at our institution to determine if the finding of obesity alone continues to adversely affect wound outcomes. Sixty-three of 122 patients (51.6%) experienced 1 or more wound-related complications. Major complications occurred in 13 patients (10.7%). A striking finding was that the lowest major complication rate 4.5%, was found in patients with extreme obesity (BMI >40). Comparisons between the 1999 and current studies found that the difference in major complications in those classified as obese, with 2 (9%) in the current study and 8 (40%) in the 1999 study, was significant (P = 0.039). Our findings suggest that high rates of major complications found in those with obesity in the 1999 study are not found today. Extreme obesity is not an absolute contraindication to operation and may be performed safely.
AB - Medical records of 122 patients who underwent an abdominoplasty or panniculectomy from 2003 to 2008 were reviewed to determine current rates of wound complications associated with these procedures in the presence of obesity. An additional aim was to determine current rates of complications as compared with those found 10 years ago at our institution to determine if the finding of obesity alone continues to adversely affect wound outcomes. Sixty-three of 122 patients (51.6%) experienced 1 or more wound-related complications. Major complications occurred in 13 patients (10.7%). A striking finding was that the lowest major complication rate 4.5%, was found in patients with extreme obesity (BMI >40). Comparisons between the 1999 and current studies found that the difference in major complications in those classified as obese, with 2 (9%) in the current study and 8 (40%) in the 1999 study, was significant (P = 0.039). Our findings suggest that high rates of major complications found in those with obesity in the 1999 study are not found today. Extreme obesity is not an absolute contraindication to operation and may be performed safely.
KW - Abdominal contouring
KW - Abdominoplasty
KW - Body contouring
KW - Massive weight loss
KW - Panniculecomy
KW - Pannus
KW - Plastic surgery
KW - Post operative complications
KW - Surgery complications
KW - Wound complications
UR - http://www.scopus.com/inward/record.url?scp=77951768034&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77951768034&partnerID=8YFLogxK
U2 - 10.1097/SAP.0b013e3181cf9f9e
DO - 10.1097/SAP.0b013e3181cf9f9e
M3 - Article
C2 - 20354426
AN - SCOPUS:77951768034
SN - 0148-7043
VL - 64
SP - 598
EP - 604
JO - Annals of Plastic Surgery
JF - Annals of Plastic Surgery
IS - 5
ER -