Giangrosso Gerard V, Rahimpour Armein, Murphy Abigail, Ray Peter D, Denning David A, Barry Rahman G
From the Department of Surgery, Marshall University Joan C. Edwards School of Medicine, Huntington, WV.
Plast Reconstr Surg Glob Open. 2025 Mar 17;13(3):e6621. doi: 10.1097/GOX.0000000000006621. eCollection 2025 Mar.
Body contouring surgery is becoming increasingly popular. Many patients desire aesthetic improvement, but many also desire functional improvement after significant weight loss. Furthermore, there are few studies which analyze whether these patients need to be admitted postoperatively. We seek to evaluate whether outpatient surgery for body contouring surgery has any impact on outcomes and readmission rates in an Appalachian population.
The authors performed a retrospective chart review of 370 patients from January 2010 to December 2023 age 18 years and older who underwent body contouring surgery at an Appalachian tertiary academic center. It was first noted what surgery the patient underwent and whether the patient was admitted postoperatively. Then, outcomes and complications within 90 days were noted. These included unexpected admission/readmission, infection, seroma/hematoma formation, wound separation, incision necrosis, venous thromboembolism, and mortality. We also examined rates of unexpected reoperation 1 year postoperatively. Statistical analysis was then performed.
There were 264 remaining patients who underwent outpatient surgery and 90 patients who underwent inpatient surgery. In regard to infection, seroma/hematoma formation, wound separation, incision necrosis, venous thromboembolism, and mortality, there was no statistical difference between inpatient or outpatient surgery. There was a statistically significant decreased risk in readmission for breast reduction when performed outpatient (odds ratio = 0.0519, = 0.004) and a decreased rate of reoperation after bilateral breast augmentation (odds ratio 0.0417, = 0.0453).
Outpatient body contouring surgery is a safe and effective option for those in rural Appalachia and should be considered whenever possible.
身体塑形手术越来越受欢迎。许多患者希望改善外观，但也有许多患者在大幅减重后希望改善功能。此外，很少有研究分析这些患者术后是否需要住院。我们旨在评估在阿巴拉契亚人群中，门诊身体塑形手术对手术结果和再入院率是否有影响。
作者对2010年1月至2023年12月期间在阿巴拉契亚一家三级学术中心接受身体塑形手术的370名18岁及以上患者进行了回顾性病历审查。首先记录患者接受的手术以及患者术后是否住院。然后记录90天内的手术结果和并发症。这些包括意外入院/再入院、感染、血清肿/血肿形成、伤口裂开、切口坏死、静脉血栓栓塞和死亡。我们还检查了术后1年的意外再次手术率。随后进行了统计分析。
有264名患者接受了门诊手术，90名患者接受了住院手术。在感染、血清肿/血肿形成、伤口裂开、切口坏死、静脉血栓栓塞和死亡方面，住院手术和门诊手术之间没有统计学差异。门诊进行乳房缩小术时再入院风险有统计学意义的降低（优势比 = 0.0519，P = 0.004），双侧隆胸术后再次手术率降低（优势比0.0417，P = 0.0453）。
门诊身体塑形手术对于阿巴拉契亚农村地区的患者是一种安全有效的选择，应尽可能予以考虑。
