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Risk Factors for Complications after J Medial Thighplasty following Massive Weight Loss: A Multivariate Analysis of 94 Consecutive Patients

Authors :
Farid Bekara
Silvia Gandolfi
Damien Bergeat
Jérôme Duisit
Nicolas Bertheuil
Eric Watier
CHU Pontchaillou [Rennes]
Microenvironment, Cell Differentiation, Immunology and Cancer (MICMAC)
Université de Rennes 1 (UR1)
Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )
Ecosystèmes, biodiversité, évolution [Rennes] (ECOBIO)
Centre National de la Recherche Scientifique (CNRS)-Observatoire des Sciences de l'Univers de Rennes (OSUR)-Institut Ecologie et Environnement (INEE)
Centre National de la Recherche Scientifique (CNRS)-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes 1 (UR1)
Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)
Cliniques Universitaires Saint-Luc [Bruxelles]
Université Catholique de Louvain = Catholic University of Louvain (UCL)
Service de médecine nucléaire [Montpellier]
Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)
Service de Médecine Interne [CHU Rouen]
CHU Rouen
Normandie Université (NU)-Normandie Université (NU)-Université de Rouen Normandie (UNIROUEN)
Normandie Université (NU)
UNIROUEN - UFR Santé (UNIROUEN UFR Santé)
Université de Rouen Normandie (UNIROUEN)
Normandie Université (NU)-Normandie Université (NU)
Nutrition, Métabolismes et Cancer (NuMeCan)
Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)
UCL - SSS/IREC/SLUC - Pôle St.-Luc
UCL - (SLuc) Service de chirurgie plastique
Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )
Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)
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.

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⟩