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Post-bariatric Abdominoplasty: Identification of Risk Factors for Complications

Karen De Paep1, Ilia Van Campenhout1, Sebastiaan Van Cauwenberge2

  • 1Department of Bariatric & Post-Bariatric Surgery, AZ Sint-Jan Brugge-Oostende AV, Ruddershove 10, 8000, Brugge, Belgium.

Obesity Surgery
|April 2, 2021
PubMed

Insights

Post-bariatric abdominoplasty complication rates are low with standardized techniques. Key predictors for complications include tissue resected, time since bariatric surgery, BMI, male gender, diabetes, and smoking.

Area of Science:

  • Plastic Surgery
  • Bariatric Surgery Outcomes

Background:

  • Abdominoplasty is frequently performed after bariatric surgery to address excess skin.
  • Assessing complication rates and identifying risk factors is crucial for patient safety.

Purpose of the Study:

  • To evaluate the complication rate following abdominoplasty in a high-volume post-bariatric surgery center.
  • To identify predictors associated with complications after these procedures.

Main Methods:

  • Retrospective analysis of abdominoplasty procedures from January 2011 to December 2019.
  • Complications were classified using the Clavien-Dindo system.
  • Statistical evaluation of potential risk factors for complications.

Main Results:

  • 898 patients were included, with an overall complication rate of 29.8%.
  • Predictors for complications included weight of resected tissue, interval post-bariatric surgery, preoperative BMI, male gender, type 2 diabetes, and smoking.
  • Higher complication rates correlated with increased tissue resection and longer intervals between surgeries.

Conclusions:

  • Standardized techniques in high-volume centers yield low complication rates for post-bariatric abdominoplasty.
  • Tissue resected, time since bariatric surgery, BMI, male gender, diabetes, and smoking are significant risk factors.
Abstract

Keywords:
AbdominoplastyBody contouringPost-bariatric

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