Aesthet Surg J. 2024 Oct 15;44(11):NP829-NP838. doi: 10.1093/asj/sjae112.
Cosmetic surgery tourism has become a significant global industry. Often patients who develop postoperative complications present for care in their US home state.
In this study we evaluated patients who either traveled abroad or to other states within the United States for cosmetic surgeries and later came with complications for treatment at the authors' center. We sought to compare rates of complications between patients who underwent cosmetic surgery internationally and domestically.
In this retrospective cross-sectional study we reviewed patients who presented from June 2014 to June 2022 with concerns related to cosmetic surgeries performed in another state or abroad. Binary logistic regressions were performed to assess differences in outcomes between domestic and international cases, including complications, interventions, and admissions.
One-hundred twenty-three patients (97.6% female, mean age 34.0 ± 8.7 years, range 16-62 years) sought 159 emergency department consultations. The most common procedures included abdominoplasty (n = 72) and liposuction (n = 56). Complications included wound dehiscence (n = 39), infection (n = 38), and seroma (n = 34). Over one-half of patients required intervention. Twenty-nine patients (23.6%) required hospital admission. On multivariate regression analyses, incidence of seroma (P = .025) and oral (P = .036) and intravenous antibiotic prescriptions (P = .045) was significantly greater among the international cohort than the domestic, and all other complication variables were nonsignificant. There were no other significant differences in operative interventions or hospital admissions between international and domestic cohorts.
Compared to domestic tourism cases, international tourism cases were associated with significantly higher rates of seroma formation and antibiotic use. There were no significant differences otherwise in overall complications, including infections, operative interventions, or hospital admissions.
美容整形旅游已成为一个重要的全球产业。通常，术后出现并发症的患者会前往他们所在的美国州进行治疗。
本研究评估了那些前往国外或美国其他州进行美容手术，后来因并发症来作者所在中心接受治疗的患者。我们旨在比较国际和国内美容手术患者的并发症发生率。
在这项回顾性的横断面研究中，我们回顾了 2014 年 6 月至 2022 年 6 月期间因在其他州或国外进行的美容手术而出现相关问题的患者。我们进行了二元逻辑回归分析，以评估国内和国际病例之间在结局方面的差异，包括并发症、干预措施和住院治疗。
共有 123 名患者（97.6%为女性，平均年龄 34.0 ± 8.7 岁，范围为 16-62 岁）接受了 159 次急诊咨询。最常见的手术包括腹部整形术（n = 72）和抽脂术（n = 56）。并发症包括伤口裂开（n = 39）、感染（n = 38）和血清肿（n = 34）。超过一半的患者需要干预。29 名患者（23.6%）需要住院治疗。在多变量回归分析中，国际组中血清肿（P =.025）和口服（P =.036）和静脉用抗生素处方（P =.045）的发生率明显高于国内组，其他所有并发症变量均无显著性差异。国际组和国内组在手术干预或住院治疗方面没有其他显著差异。
与国内旅游病例相比，国际旅游病例与血清肿形成和抗生素使用的发生率显著更高相关。在总体并发症方面，包括感染、手术干预或住院治疗，没有显著差异。
