Dow Todd, Crawley Emma, Selman Tamara, Al Youha Sarah, Bendor-Samuel Richard, Brennan Michael, Williams Jason
Department of Surgery, Division of Plastic Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Plast Reconstr Surg Glob Open. 2022 May 19;10(5):e4299. doi: 10.1097/GOX.0000000000004299. eCollection 2022 May.
Breast hypertrophy is known to be a source of both physical and psychosocial health deficits. Therefore, the ability to relieve these symptoms with surgical treatment is an important consideration for patients. The primary objective of this study was to assess the impact of patient body mass index (BMI) on postoperation complications. The secondary objective of this study was to assess patient demographics, surgical techniques, and patient comorbidities for their impact on specific postoperative complications.
A retrospective chart review of all patients who received bilateral breast reduction surgery in Nova Scotia over the past 10 years was performed. A total of 1022 patients met the inclusion criteria of the study. Logistic regression modeling was performed to identify demographic factors, surgical techniques, and patient comorbidities that impact the risk of developing specific postoperative complications.
Our study population had a total complication incidence of 37.7%. BMI was not significantly different between patients who developed complications and those who did not. Logistic regression modeling showed a significant relationship that with each unit increase in BMI above the mean (25.9 kg/m) the relative risk of patient-reported postoperative asymmetry increased by 6%.
The findings of this study suggest that BMI has several nonsignificant relationships to postoperative complications following bilateral breast reduction. These trends do not translate to significantly increased complaints of asymmetry, scarring' or revision surgeries. This study also provides valuable information on the timeline of postoperative complications and when they can commonly be identified.
已知乳房肥大是身体和心理社会健康缺陷的一个来源。因此，通过手术治疗缓解这些症状的能力是患者的一个重要考量因素。本研究的主要目的是评估患者体重指数（BMI）对术后并发症的影响。本研究的次要目的是评估患者人口统计学特征、手术技术和患者合并症对特定术后并发症的影响。
对过去10年在新斯科舍接受双侧乳房缩小术的所有患者进行回顾性病历审查。共有1022名患者符合该研究的纳入标准。进行逻辑回归建模以确定影响发生特定术后并发症风险的人口统计学因素、手术技术和患者合并症。
我们的研究人群总并发症发生率为37.7%。发生并发症的患者与未发生并发症的患者之间的BMI无显著差异。逻辑回归建模显示，BMI每高于均值（25.9kg/m²）一个单位，患者报告的术后不对称相对风险增加6%，存在显著关系。
本研究结果表明，BMI与双侧乳房缩小术后的术后并发症有几种无显著意义的关系。这些趋势并未转化为不对称、瘢痕或修复手术投诉的显著增加。本研究还提供了关于术后并发症发生时间以及何时通常可识别的有价值信息。
