The effect of weight loss surgery and body mass index on wound complications after abdominal contouring operations

Joseph Angelo Greco, Eric T. Castaldo, Lillian B. Nanney, J. Jason Wendel, J. Blair Summitt, Kevin J. Kelly, Stephane A. Braun, Kevin F. Hagan, R. Bruce Shack

Research output: Contribution to journalArticle

90 Citations (Scopus)

Abstract

Abdominal contouring operations are in high demand after massive weight loss. Anecdotally, wound problems seemed to occur frequently in this patient population. Our study was designed to delineate risk factors for wound complications after body contouring. Our retrospective institutional analysis was assembled from 222 patients between 2001 and 2006 who underwent either abdominoplasty (N = 89) or panniculectomy (N = 133). Weight loss surgery (WLS) before body contouring occurred in 63% of our patients. Overall the wound complication rate in these patients was 34%: healing-disturbance 11%, wound infection 12%, hematoma 6%, and seroma 14%. WLS patients had an increase in wound complications overall (41% vs. 22%; P < 0.01) and in all categories of wound complications compared with non-WLS-patients by univariate methods of analysis. In a multivariate regression model, only American Society of Anesthesiologists Physical Status Classification was a significant independent risk factor for wound complications. In conclusion, WLS patients are at increased risk for wound complications and American Society of Anesthesiologists Physical Status Classification is the most predictive of risk.

Original languageEnglish (US)
Pages (from-to)235-242
Number of pages8
JournalAnnals of Plastic Surgery
Volume61
Issue number3
DOIs
StatePublished - Sep 1 2008
Externally publishedYes

Fingerprint

Weight Loss
Body Mass Index
Wounds and Injuries
Abdominoplasty
Seroma
Wound Infection
Hematoma
Population

Keywords

  • Abdominal contouring
  • ASA class
  • Body mass index
  • Weight loss surgery
  • Wound complications

ASJC Scopus subject areas

  • Surgery

Cite this

Greco, J. A., Castaldo, E. T., Nanney, L. B., Wendel, J. J., Summitt, J. B., Kelly, K. J., ... Shack, R. B. (2008). The effect of weight loss surgery and body mass index on wound complications after abdominal contouring operations. Annals of Plastic Surgery, 61(3), 235-242. https://doi.org/10.1097/SAP.0b013e318166d351

The effect of weight loss surgery and body mass index on wound complications after abdominal contouring operations. / Greco, Joseph Angelo; Castaldo, Eric T.; Nanney, Lillian B.; Wendel, J. Jason; Summitt, J. Blair; Kelly, Kevin J.; Braun, Stephane A.; Hagan, Kevin F.; Shack, R. Bruce.

In: Annals of Plastic Surgery, Vol. 61, No. 3, 01.09.2008, p. 235-242.

Research output: Contribution to journalArticle

Greco, JA, Castaldo, ET, Nanney, LB, Wendel, JJ, Summitt, JB, Kelly, KJ, Braun, SA, Hagan, KF & Shack, RB 2008, 'The effect of weight loss surgery and body mass index on wound complications after abdominal contouring operations', Annals of Plastic Surgery, vol. 61, no. 3, pp. 235-242. https://doi.org/10.1097/SAP.0b013e318166d351
Greco, Joseph Angelo ; Castaldo, Eric T. ; Nanney, Lillian B. ; Wendel, J. Jason ; Summitt, J. Blair ; Kelly, Kevin J. ; Braun, Stephane A. ; Hagan, Kevin F. ; Shack, R. Bruce. / The effect of weight loss surgery and body mass index on wound complications after abdominal contouring operations. In: Annals of Plastic Surgery. 2008 ; Vol. 61, No. 3. pp. 235-242.
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