Kuruoglu Doga, Salinas Cristina A, Tran Nho V, Nguyen Minh-Doan T, Martinez-Jorge Jorys, Bite Uldis, Harless Christin A, Sharaf Basel
Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minn.
Mayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, Minn.
Plast Reconstr Surg Glob Open. 2021 Nov 24;9(11):e3955. doi: 10.1097/GOX.0000000000003955. eCollection 2021 Nov.
Panniculectomy is a commonly performed body contouring procedure to address skin laxity and its related complications. This study aimed to assess clinical outcomes of abdominal panniculectomy and identify predictors of complications at a tertiary academic healthcare center.
A retrospective review of patients who underwent panniculectomy between January 2010 and January 2020 at our institution was performed. Exclusion criteria were a history of prior panniculectomy or abdominoplasty. Patient characteristics and clinical outcomes were collected. Univariate and multivariable analyses were performed to assess the risk factors of complications.
The mean age in the included 238 patients was 51.7 ± 12.7 years, and the mean body mass index (BMI) at the time of panniculectomy was 33 ± 7.5 kg/m. Median resection weight was 2.7 kg (range: 0.15-14.6) and median length of hospital stay was 2 days (range: 0-24). Mean follow-up time was 50 ± 37 months. The rate of major complications was 22.3%. Revision surgery was performed in 3.4% of the cases. Multivariable analyses demonstrated that increase in BMI ( 0.007) and active smoking ( 0.026) were significantly associated with increased odds of major complication, and increase in BMI ( 0.0004), history of venous thromboembolism ( 0.034) and having a concomitant ventral hernia repair ( 0.0044) were significantly associated with having a length of hospital stay of 3 days or more.
Panniculectomy is generally safe to perform, with major postoperative complication rate of 22.3% in our series. Increase in BMI and active smoking were significantly associated with having a major complication. Higher BMI, concomitant hernia repair, and a history of venous thromboembolism were associated with length of hospital stay of 3 days or more.
腹壁成形术是一种常见的身体塑形手术，用于解决皮肤松弛及其相关并发症。本研究旨在评估三级学术医疗中心腹部腹壁成形术的临床结果，并确定并发症的预测因素。
对2010年1月至2020年1月在我院接受腹壁成形术的患者进行回顾性研究。排除标准为既往有腹壁成形术或腹部整形手术史。收集患者特征和临床结果。进行单因素和多因素分析以评估并发症的危险因素。
纳入的238例患者的平均年龄为51.7±12.7岁，腹壁成形术时的平均体重指数（BMI）为33±7.5kg/m²。中位切除重量为2.7kg（范围：0.15-14.6），中位住院时间为2天（范围：0-24）。平均随访时间为50±37个月。主要并发症发生率为22.3%。3.4%的病例进行了翻修手术。多因素分析表明，BMI增加（P=0.007）和当前吸烟（P=0.026）与主要并发症发生几率增加显著相关，BMI增加（P=0.0004）、静脉血栓栓塞病史（P=0.034）和同时进行腹侧疝修补术（P=0.0044）与住院时间延长3天或更长时间显著相关。
腹壁成形术总体上实施安全，在我们的系列研究中术后主要并发症发生率为22.3%。BMI增加和当前吸烟与发生主要并发症显著相关。较高的BMI、同时进行疝修补术和静脉血栓栓塞病史与住院时间延长3天或更长时间相关。
