A Multiple Regression Analysis of Postoperative Complications After Body-Contouring Surgery

a Retrospective Analysis of 205 Patients: Regression Analysis of Complications

D. Parvizi, H. Friedl, P. Wurzer, L. P. Kamolz, P. Lebo, A. Tuca, T. Rappl, M. Wiedner, K. Kuess, M. Grohmann, H. Koch

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Background: As bariatric surgery becomes ever more popular, so does body-contouring surgery to eliminate excess skin after radical weight loss. To date, the literature has described a number of risk factors affecting the postoperative outcome. Our study aimed to define those factors more closely, focusing on abdominoplasty (“tummy tuck”) patients who suffered intra- and postoperative complications. Methods: The study collective included 205 patients over 5 years (2001–2006) who underwent dermolipectomy at our department. The mean follow-up was 5.94 years. Every abdominoplasty was performed under general anesthesia with intraoperative one-dose antibiotic. The analysis included a complete review of all medical records. Statistical analysis was performed with the R-2.5.0 Software for Windows. Results: The overall rate for major complications that required operative revision and/or antibiotics was 10.2 %, including 2.9 % cases of infections. Forty-one percent had minor complications, such as seromas, hematomas, wound healing problems, and wound dehiscences. The logistic regression models demonstrated that smoking combined with the age, a BMI higher than 30 kg/m2, and the amount of removed tissue (measured in g) lead to significantly more wound healing problems in nearly all age groups. The probability of infections correlated with later drain removal. Conclusions: Regardless of the amount of tissue removed, no main risk factor for complications could be identified. A complication-free course and good outcome can be best achieved with careful patient selection and preoperative planning.

Original languageEnglish (US)
Pages (from-to)1482-1490
Number of pages9
JournalObesity Surgery
Volume25
Issue number8
DOIs
StatePublished - Aug 23 2015
Externally publishedYes

Fingerprint

Abdominoplasty
Wound Healing
Logistic Models
Regression Analysis
Anti-Bacterial Agents
Seroma
Bariatric Surgery
Intraoperative Complications
Infection
Hematoma
General Anesthesia
Patient Selection
Medical Records
Weight Loss
Software
Age Groups
Smoking
Skin
Wounds and Injuries

Keywords

  • Abdominoplasty
  • Bariatric surgery
  • Body-contouring surgery
  • Wound dehiscence

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics
  • Medicine(all)

Cite this

A Multiple Regression Analysis of Postoperative Complications After Body-Contouring Surgery : a Retrospective Analysis of 205 Patients: Regression Analysis of Complications. / Parvizi, D.; Friedl, H.; Wurzer, P.; Kamolz, L. P.; Lebo, P.; Tuca, A.; Rappl, T.; Wiedner, M.; Kuess, K.; Grohmann, M.; Koch, H.

In: Obesity Surgery, Vol. 25, No. 8, 23.08.2015, p. 1482-1490.

Research output: Contribution to journalArticle

Parvizi, D, Friedl, H, Wurzer, P, Kamolz, LP, Lebo, P, Tuca, A, Rappl, T, Wiedner, M, Kuess, K, Grohmann, M & Koch, H 2015, 'A Multiple Regression Analysis of Postoperative Complications After Body-Contouring Surgery: a Retrospective Analysis of 205 Patients: Regression Analysis of Complications', Obesity Surgery, vol. 25, no. 8, pp. 1482-1490. https://doi.org/10.1007/s11695-014-1559-5
Parvizi, D. ; Friedl, H. ; Wurzer, P. ; Kamolz, L. P. ; Lebo, P. ; Tuca, A. ; Rappl, T. ; Wiedner, M. ; Kuess, K. ; Grohmann, M. ; Koch, H. / A Multiple Regression Analysis of Postoperative Complications After Body-Contouring Surgery : a Retrospective Analysis of 205 Patients: Regression Analysis of Complications. In: Obesity Surgery. 2015 ; Vol. 25, No. 8. pp. 1482-1490.
@article{26b32d4f245a46cb84b16de51d838067,
title = "A Multiple Regression Analysis of Postoperative Complications After Body-Contouring Surgery: a Retrospective Analysis of 205 Patients: Regression Analysis of Complications",
abstract = "Background: As bariatric surgery becomes ever more popular, so does body-contouring surgery to eliminate excess skin after radical weight loss. To date, the literature has described a number of risk factors affecting the postoperative outcome. Our study aimed to define those factors more closely, focusing on abdominoplasty (“tummy tuck”) patients who suffered intra- and postoperative complications. Methods: The study collective included 205 patients over 5 years (2001–2006) who underwent dermolipectomy at our department. The mean follow-up was 5.94 years. Every abdominoplasty was performed under general anesthesia with intraoperative one-dose antibiotic. The analysis included a complete review of all medical records. Statistical analysis was performed with the R-2.5.0 Software for Windows. Results: The overall rate for major complications that required operative revision and/or antibiotics was 10.2 {\%}, including 2.9 {\%} cases of infections. Forty-one percent had minor complications, such as seromas, hematomas, wound healing problems, and wound dehiscences. The logistic regression models demonstrated that smoking combined with the age, a BMI higher than 30 kg/m2, and the amount of removed tissue (measured in g) lead to significantly more wound healing problems in nearly all age groups. The probability of infections correlated with later drain removal. Conclusions: Regardless of the amount of tissue removed, no main risk factor for complications could be identified. A complication-free course and good outcome can be best achieved with careful patient selection and preoperative planning.",
keywords = "Abdominoplasty, Bariatric surgery, Body-contouring surgery, Wound dehiscence",
author = "D. Parvizi and H. Friedl and P. Wurzer and Kamolz, {L. P.} and P. Lebo and A. Tuca and T. Rappl and M. Wiedner and K. Kuess and M. Grohmann and H. Koch",
year = "2015",
month = "8",
day = "23",
doi = "10.1007/s11695-014-1559-5",
language = "English (US)",
volume = "25",
pages = "1482--1490",
journal = "Obesity Surgery",
issn = "0960-8923",
publisher = "Springer New York",
number = "8",

}

TY - JOUR

T1 - A Multiple Regression Analysis of Postoperative Complications After Body-Contouring Surgery

T2 - a Retrospective Analysis of 205 Patients: Regression Analysis of Complications

AU - Parvizi, D.

AU - Friedl, H.

AU - Wurzer, P.

AU - Kamolz, L. P.

AU - Lebo, P.

AU - Tuca, A.

AU - Rappl, T.

AU - Wiedner, M.

AU - Kuess, K.

AU - Grohmann, M.

AU - Koch, H.

PY - 2015/8/23

Y1 - 2015/8/23

N2 - Background: As bariatric surgery becomes ever more popular, so does body-contouring surgery to eliminate excess skin after radical weight loss. To date, the literature has described a number of risk factors affecting the postoperative outcome. Our study aimed to define those factors more closely, focusing on abdominoplasty (“tummy tuck”) patients who suffered intra- and postoperative complications. Methods: The study collective included 205 patients over 5 years (2001–2006) who underwent dermolipectomy at our department. The mean follow-up was 5.94 years. Every abdominoplasty was performed under general anesthesia with intraoperative one-dose antibiotic. The analysis included a complete review of all medical records. Statistical analysis was performed with the R-2.5.0 Software for Windows. Results: The overall rate for major complications that required operative revision and/or antibiotics was 10.2 %, including 2.9 % cases of infections. Forty-one percent had minor complications, such as seromas, hematomas, wound healing problems, and wound dehiscences. The logistic regression models demonstrated that smoking combined with the age, a BMI higher than 30 kg/m2, and the amount of removed tissue (measured in g) lead to significantly more wound healing problems in nearly all age groups. The probability of infections correlated with later drain removal. Conclusions: Regardless of the amount of tissue removed, no main risk factor for complications could be identified. A complication-free course and good outcome can be best achieved with careful patient selection and preoperative planning.

AB - Background: As bariatric surgery becomes ever more popular, so does body-contouring surgery to eliminate excess skin after radical weight loss. To date, the literature has described a number of risk factors affecting the postoperative outcome. Our study aimed to define those factors more closely, focusing on abdominoplasty (“tummy tuck”) patients who suffered intra- and postoperative complications. Methods: The study collective included 205 patients over 5 years (2001–2006) who underwent dermolipectomy at our department. The mean follow-up was 5.94 years. Every abdominoplasty was performed under general anesthesia with intraoperative one-dose antibiotic. The analysis included a complete review of all medical records. Statistical analysis was performed with the R-2.5.0 Software for Windows. Results: The overall rate for major complications that required operative revision and/or antibiotics was 10.2 %, including 2.9 % cases of infections. Forty-one percent had minor complications, such as seromas, hematomas, wound healing problems, and wound dehiscences. The logistic regression models demonstrated that smoking combined with the age, a BMI higher than 30 kg/m2, and the amount of removed tissue (measured in g) lead to significantly more wound healing problems in nearly all age groups. The probability of infections correlated with later drain removal. Conclusions: Regardless of the amount of tissue removed, no main risk factor for complications could be identified. A complication-free course and good outcome can be best achieved with careful patient selection and preoperative planning.

KW - Abdominoplasty

KW - Bariatric surgery

KW - Body-contouring surgery

KW - Wound dehiscence

UR - http://www.scopus.com/inward/record.url?scp=84939417965&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84939417965&partnerID=8YFLogxK

U2 - 10.1007/s11695-014-1559-5

DO - 10.1007/s11695-014-1559-5

M3 - Article

VL - 25

SP - 1482

EP - 1490

JO - Obesity Surgery

JF - Obesity Surgery

SN - 0960-8923

IS - 8

ER -