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Risk Factors for Complications after J Medial Thighplasty following Massive Weight Loss: A Multivariate Analysis of 94 Consecutive Patients
- Source :
- Plastic and Reconstructive Surgery, Plastic and Reconstructive Surgery, Lippincott, Williams & Wilkins, 2021, 148 (4), pp.540e-547e. ⟨10.1097/PRS.0000000000008386⟩, Plastic and reconstructive surgery, Vol. 148, no.4, p. 540e-547e (2021), Plastic and Reconstructive Surgery, 2021, 148 (4), pp.540e-547e. ⟨10.1097/PRS.0000000000008386⟩
- Publication Year :
- 2021
- Publisher :
- HAL CCSD, 2021.
-
Abstract
- International audience; BACKGROUND: Bariatric surgery has increased the number of patients requiring medial thighplasty after massive weight loss. However, despite the various complications, the procedure improves quality of life. The authors report postoperative complications of vertical J-shaped medial thigh lift in a series of patients and identify preoperative risk factors. METHODS: For almost 5 years, the details of all J medial thighplasties performed by a single surgeon were recorded; detailed medical records were also available. Complications can be major (e.g., need for early surgical revision or readmission) or minor (delayed wound healing). RESULTS: During the study period, 94 patients were treated and only minor complications were recorded (42.5 percent). On multivariate analysis, older age (OR, 1.05; 95 percent CI, 1.01 to 1.10) and a body mass index greater than or equal to 30 kg/m2 (OR, 2.82; 95 percent CI, 1.10 to 7.22) were independent risk factors for postoperative complications. CONCLUSIONS: As with other postbariatric operations, medial thighplasty is associated with significant morbidity, but the risk thereof can be easily established and managed. Specific algorithms for determining the risk of postoperative complications based on age and body mass index are needed to guide preoperative discussions with patients and perform patient selection. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, III.
- Subjects :
- Adult
medicine.medical_specialty
Multivariate analysis
[SDV]Life Sciences [q-bio]
Preoperative risk
Bariatric Surgery
030230 surgery
Medial compartment of thigh
Severity of Illness Index
Body Mass Index
030207 dermatology & venereal diseases
03 medical and health sciences
0302 clinical medicine
Postoperative Complications
Quality of life
Weight loss
Risk Factors
Weight Loss
medicine
Humans
Prospective Studies
2. Zero hunger
business.industry
Medical record
Age Factors
Middle Aged
Body Contouring
Single surgeon
3. Good health
Surgery
Obesity, Morbid
Thigh
Multivariate Analysis
Female
medicine.symptom
business
Body mass index
Subjects
Details
- Language :
- English
- ISSN :
- 00321052
- Database :
- OpenAIRE
- Journal :
- Plastic and Reconstructive Surgery, Plastic and Reconstructive Surgery, Lippincott, Williams & Wilkins, 2021, 148 (4), pp.540e-547e. ⟨10.1097/PRS.0000000000008386⟩, Plastic and reconstructive surgery, Vol. 148, no.4, p. 540e-547e (2021), Plastic and Reconstructive Surgery, 2021, 148 (4), pp.540e-547e. ⟨10.1097/PRS.0000000000008386⟩
- Accession number :
- edsair.doi.dedup.....207ab550037d23ff0506c70f7f4b98d5
- Full Text :
- https://doi.org/10.1097/PRS.0000000000008386⟩