Scharfetter Sandra, Puchner Julia, Schwaiger Karl, Hitzl Wolfgang, Buben Philipp, Wechselberger Gottfried
From the Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital of St. John of God, Paracelsus Medical University, Salzburg, Austria.
Research and Innovation Management (RIM), Paracelsus Medical University, Salzburg, Austria.
Plast Reconstr Surg Glob Open. 2024 Jul 16;12(7):e5969. doi: 10.1097/GOX.0000000000005969. eCollection 2024 Jul.
Among aesthetic procedures, abdominoplasty is associated with an increased complication rate. In general, postoperative nausea and vomiting is frequently experienced. As vomiting increases the intraabdominal pressure and blood pressure, and results in an increased mechanical friction on the abdominal wall, intraoperatively ligated vessels are prone to reopen. However, previous studies have not investigated the impact of postoperative emesis on postoperative hematoma in patients undergoing abdominoplasty.
We performed a retrospective analysis on all patients who underwent abdominoplasty between 2017 and 2019 in our institution. Patients were divided into two groups, group 1 including patients experiencing postoperative vomiting and group two including patients without postoperative vomiting. Data extraction focused on patient characteristics, intraoperative characteristics, and postoperative complications, particularly the proportion of patients developing postoperative hematoma. Finally, statistical analysis was performed to analyze the impact of postoperative vomiting on the risk to develop a postoperative hematoma.
We identified 189 patients fitting our inclusion criteria. Overall, the proportion of postoperative hematoma was 13.7%. Thereby, a statistically significant difference was found between both groups: 62.5% of patients in group 1 (vomiting group) and only 9.25% in group 2 (nonvomiting group) developed a postoperative hematoma [odds ratio: 16.4 (95% confidence interval, 5.3-50.9), < 0.000001].
In patients undergoing abdominoplasty, postoperative vomiting increases the risk to develop a postoperative hematoma.
在美容手术中，腹部整形术的并发症发生率较高。一般来说，术后恶心和呕吐很常见。由于呕吐会增加腹内压和血压，并导致腹壁机械摩擦增加，术中结扎的血管容易重新开放。然而，以往的研究尚未探讨腹部整形术患者术后呕吐对术后血肿的影响。
我们对2017年至2019年在我院接受腹部整形术的所有患者进行了回顾性分析。患者分为两组，第一组包括术后呕吐的患者，第二组包括无术后呕吐的患者。数据提取重点关注患者特征、术中特征和术后并发症，特别是发生术后血肿的患者比例。最后，进行统计分析以分析术后呕吐对发生术后血肿风险的影响。
我们确定了189例符合纳入标准的患者。总体而言，术后血肿的比例为13.7%。因此，两组之间存在统计学上的显著差异：第一组（呕吐组）62.5%的患者和第二组（无呕吐组）仅9.25%的患者发生了术后血肿[优势比：16.4（95%置信区间，5.3 - 50.9），<0.000001]。
在接受腹部整形术的患者中，术后呕吐会增加发生术后血肿的风险。
