Ghnnam Wagih, Elrahawy Ashraf, Moghazy Magdy El
Department of General Surgery, Mansoura Facculty of Medicine, Mansoura University, Egypt.
Department of Plastic Surgery, Menoufia Faculty of Medicine, Menoufia University, Egypt.
World J Plast Surg. 2016 Sep;5(3):244-251.
Increased body mass index (BMI) increase the incidence of seroma formation and wound infection rates and subsequently increases wound dehiscence and ugly scar formation following abdomenoplasty and body contour surgery and also many other aesthetic and plastic surgery. The aim of this study was to determine the effect of BMI on the outcome of abdominoplasty operation.
We carried out a prospective study of all patients who underwent abdominoplasty at our institution. Patient were divided into two groups. Group I were subjects with body mass index <30 kg/m while group II were patients with body mass index >30 kg/m. Demographics and complications (minor and major) were recorded.
Sixty seven patients were enrolled. Group I were 32 patients with a mean age of 35.71 and group II 35 patients with mean age of 36.26 years. Seroma formation, wound complications, prolonged hospital stay and complications were significantly more in group II.
We found that increased BMI significantly increased operative time, hospital stay, drainage duration and drainage amount. Our findings showed that obesity alone could increase the incidence of complications and poor outcome of abdominoplasty.
体重指数（BMI）升高会增加血清肿形成的发生率和伤口感染率，进而增加腹部整形术、身体塑形手术以及许多其他美容整形手术后伤口裂开和形成难看疤痕的几率。本研究的目的是确定BMI对腹部整形手术结果的影响。
我们对在本院接受腹部整形手术的所有患者进行了一项前瞻性研究。患者被分为两组。第一组是体重指数<30kg/m²的受试者，而第二组是体重指数>30kg/m²的患者。记录人口统计学数据和并发症（轻微和严重）情况。
共纳入67例患者。第一组有32例患者，平均年龄35.71岁；第二组有35例患者，平均年龄36.26岁。第二组的血清肿形成、伤口并发症、住院时间延长和并发症明显更多。
我们发现BMI升高会显著增加手术时间、住院时间、引流持续时间和引流量。我们的研究结果表明，单纯肥胖就会增加腹部整形手术的并发症发生率和不良结局。
