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Risk of adverse outcomes when plastic surgery procedures are combined
Ahmad N Saad1, Ralitza Parina, David Chang
1San Diego, Calif. From the Division of Plastic Surgery and the Department of Surgery, University of California, San Diego.
Plastic and Reconstructive Surgery
|November 22, 2014
Summary
Combining abdominoplasty with other cosmetic surgeries increases venous thromboembolism risk. Some procedure combinations, like abdominoplasty with liposuction or hernia repair, show greater than additive risk, impacting patient safety and prophylaxis strategies.
Area of Science:
- Plastic Surgery
- Vascular Surgery
- Health Outcomes Research
Background:
- Limited longitudinal data hinders understanding of outpatient cosmetic procedure outcomes.
- This study addresses the need for data on adverse events following cosmetic surgery.
Purpose of the Study:
- To compare adverse event rates in patients undergoing isolated cosmetic surgery versus combined procedures.
- To analyze venous thromboembolism (VTE) rates after abdominoplasty and concurrent procedures.
Main Methods:
- Retrospective analysis of the 2005-2010 California Ambulatory Surgery Database.
- Included patients undergoing abdominoplasty or frequently combined procedures.
- Analyzed 30-day and 1-year VTE rates, hospital admissions, emergency visits, and mortality.
Main Results:
- Analyzed 477,741 patients; 16,893 had two concurrent procedures.
- 1-year VTE rates varied by procedure: abdominoplasty (0.57%), liposuction (0.20%), breast (0.12%), hernia repair (0.32%), face (0.28%), thigh lift/brachioplasty (0.28%).
- Abdominoplasty with liposuction and abdominoplasty with hernia repair showed greater than additive 30-day and 1-year VTE rates.
Conclusions:
- Certain combined elective outpatient procedures increase VTE risk beyond additive levels.
- Findings are crucial for patient counseling on postoperative complications.
- Informs strategies for VTE prophylaxis in cosmetic surgery patients.
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