gms | German Medical Science

46. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen (DGPRÄC), 20. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen (VDÄPC)

01.10. - 03.10.2015, Berlin

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A Multiple Regression Analysis of Postoperative Complications After Body-Contouring Surgery: a Retrospective Analysis of 205 Patients

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  • presenting/speaker Alexandru Tuca - Division of Plastic, Aesthetic and Reconstructive Surgery, Medical University of Graz, Dpt. of Surgery, Graz, Austria
  • Daryousch Parvizi - Division of Plastic, Aesthetic and Reconstructive Surgery, Medical University of Graz, Dpt. of Surgery, Graz, Austria
  • Herwig Friedl - Institute of Statistics, Graz University of Technology, Graz, Austria
  • Paul Wurzer - Division of Plastic, Aesthetic and Reconstructive Surgery, Medical University of Graz, Dpt. of Surgery, Graz, Austria; University of Texas Medical Branch and Shriners Hospitals for Children, Department of Surgery, Galveston, USA
  • Lars-Peter Kamolz - Division of Plastic, Aesthetic and Reconstructive Surgery, Medical University of Graz, Dpt. of Surgery, Graz, Austria
  • Patricia Lebo - Division of Plastic, Aesthetic and Reconstructive Surgery, Medical University of Graz, Dpt. of Surgery, Graz, Austria
  • Thomas Rappl - Division of Plastic, Aesthetic and Reconstructive Surgery, Medical University of Graz, Dpt. of Surgery, Graz, Austria
  • Maria Wiedner - Division of Plastic, Aesthetic and Reconstructive Surgery, Medical University of Graz, Dpt. of Surgery, Graz, Austria
  • Kalliope Kuess - Division of Plastic, Aesthetic and Reconstructive Surgery, Medical University of Graz, Dpt. of Surgery, Graz, Austria
  • Martin Grohmann - Division of Plastic, Aesthetic and Reconstructive Surgery, Medical University of Graz, Dpt. of Surgery, Graz, Austria
  • Horst Koch - Division of Plastic, Aesthetic and Reconstructive Surgery, Medical University of Graz, Dpt. of Surgery, Graz, Austria

Deutsche Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen. Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen. 46. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen (DGPRÄC), 20. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen (VDÄPC). Berlin, 01.-03.10.2015. Düsseldorf: German Medical Science GMS Publishing House; 2015. Doc173

doi: 10.3205/15dgpraec173, urn:nbn:de:0183-15dgpraec1735

Veröffentlicht: 28. September 2015

© 2015 Tuca et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Background: As bariatric surgery becomes ever more popular, so does body-contouring surgery to eliminate excess skin after radical weight loss. To date, the literature has described a number of risk factors affecting the postoperative outcome. Our study aimed to define those factors more closely, focusing on abdominoplasty (“tummy tuck”) patients who suffered intra- and postoperative complications.

Methods: The study collective included 205 patients over 5 years (2001–2006) who underwent dermolipectomy at our department. The mean follow-up was 5.94 years. Every abdominoplasty was performed under general anesthesia with intraoperative one-dose antibiotic. The analysis included a complete review of all medical records. Statistical analysis was performed with the R-2.5.0 Software for Windows.

Results: The overall rate for major complications that required operative revision and/or antibiotics was 10.2%, including 2.9% cases of infections. Forty-one percent had minor complications, such as seromas, hematomas, wound healing problems, and wound dehiscences. The logistic regression models demonstrated that smoking combined with the age, a BMI higher than 30 kg/m2, and the amount of removed tissue (measured in g) lead to significantly more wound healing problems in nearly all age groups. The probability of infections correlated with later drain removal.

Conclusion: Regardless of the amount of tissue removed, no main risk factor for complications could be identified. A complication-free course and good outcome can be best achieved with careful patient selection and preoperative planning.