Samuel Ankhita R, Campbell Christopher, DeGeorge Brent R, Black Jonathan, Stranix John T
University of Virginia, Charlottesville, VA, USA.
Plast Surg (Oakv). 2024 Feb;32(1):33-39. doi: 10.1177/22925503221078850. Epub 2022 Mar 4.
Despite its association with obesity, the relation between diabetes and the abdominal panniculectomy is less well-established. The purpose of this study was to evaluate the result of diabetes on post-panniculectomy complications in a large cohort and to establish the risk factors associated with unfavorable post-operative outcomes. Patients that underwent a panniculectomy between 2010 and 2018 were identified in PearlDiver, a national insurance claims database, and identified by Current Procedural Terminology code 15380. Patient demographics and comorbidities were elucidated, and various complications were then identified. Descriptive statistics as well as a multivariate analysis were used to evaluate the association of risk factors and complications. A total of 8282 panniculectomy patients were identified-4245 with diabetes, 4037 without. Obesity, tobacco use, and diabetes were all identified as significant risk factors in developing a surgical site infection, wound disruption, as well as needing to undergo reoperation. Diabetic panniculectomy patients had a higher rate of readmission as well as reoperation and sustained a higher rate of surgical complications, even when matched for. Diabetic panniculectomy patients are at a greater risk for developing complications. Identifying potential risk factors in this patient population could help reduce post-operative complications following a panniculectomy.
尽管糖尿病与肥胖有关联，但糖尿病与腹壁成形术之间的关系尚不明确。本研究的目的是评估糖尿病对一大群接受腹壁成形术后并发症的影响，并确定与不良术后结果相关的风险因素。在全国保险理赔数据库PearlDiver中，通过当前手术操作术语代码15380识别出2010年至2018年间接受腹壁成形术的患者。阐明患者的人口统计学和合并症情况，然后确定各种并发症。采用描述性统计以及多变量分析来评估风险因素与并发症之间的关联。共识别出8282例腹壁成形术患者，其中4245例患有糖尿病，4037例没有糖尿病。肥胖、吸烟和糖尿病均被确定为发生手术部位感染、伤口裂开以及需要再次手术的重要风险因素。即使在进行匹配后，糖尿病腹壁成形术患者的再入院率和再次手术率更高，且手术并发症发生率也更高。糖尿病腹壁成形术患者发生并发症的风险更大。识别该患者群体中的潜在风险因素有助于减少腹壁成形术后的并发症。
