The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
Functional panniculectomy vs cosmetic abdominoplasty: multicenter analysis of risk factors and complications.
Abstract
BACKGROUND Amidst the rising trend of bariatric surgical procedures being performed across the country and around the world, patients seeking functional panniculectomy after massive weight loss represent a different population than those seeking cosmetic abdominoplasty. The purpose of this study was to determine whether certain complications are more likely to occur in patients undergoing functional panniculectomy, as well as identify risk factors that are implicated in the occurrence of adverse events. METHODS Retrospective cohort study was conducted of patients undergoing cosmetic abdominoplasty and functional panniculectomy in North America between 2015 and 2019 using the National Surgical Quality Improvement Program database sponsored by the American College of Surgeons. Comorbidities and postoperative complications between these two cohorts were analyzed with appropriate statistics. RESULTS During the study interval, 11,137 patients underwent excision of excessive infraumbilical abdominal skin, including 57.4% (n = 6397) patients undergoing functional panniculectomy and 42.6% (n = 4740) patients undergoing cosmetic abdominoplasty. Patients undergoing functional panniculectomy were significantly more likely to have comorbidities than those undergoing cosmetic abdominoplasty (p < .001). Overall adverse events (p < .001), medical complications (p = .047), surgical complications (p < .001), related readmission (p < .001), and related reoperation (p < .001) were significantly higher in patients undergoing functional panniculectomy. Surgical complications significantly higher in functional panniculectomy included superficial incisional infection (p < .001), deep incisional infection (p < .001), organ/space infection (p < .001), dehiscence (p = .003), and bleeding requiring transfusion (p = .003). CONCLUSIONS Patients undergoing functional panniculectomy are significantly more likely to have comorbidities and experience postoperative wound infection, dehiscence, sepsis, bleeding, related readmission, and related reoperation.
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“Cases of large abdominal wall endometriosis mass resections involving the rectus abdominis fascia with mesh reconstruction and added separation of components have been noted in the literaure.18,33”
From Endometriosis in Patients Undergoing Plastic Surgical Procedures: A Case Report and Review of the Literature (2024) · cites this paper as [33]
Citations
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Cited by
Niu, E. F., Honig, S. E., Wang, K. E., Amro, C., Davis, H. D., Habarth-Morales, T. E., Broach, R. B., & Fischer, J. P. (2023) · Aesthetic Plastic Surgery · doi:10.1007/s00266-023-03602-w · Cited by 12
Impact of obesity on the outcomes of panniculectomy and abdominoplasty: An ACS-NSQIP analysis
Wang, H.-P., Gaddis, C., Bayless, M., Hollman, N., Williams, J. W., Alamiri, N. N., & Khorgami, Z. (2025) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2025.04.043 · Cited by 8
Safety of GLP-1 receptor agonists in body contouring surgery: a systematic review and meta-analysis
Collaço, B. G., Gomez-Cabello, C. A., Haider, S. A., Genovese, A., Prabha, S., Rinker, B. D., Forte, A. J., & Elegbede, A. I. (2026) · BMC Plastic and Reconstructive Surgery · doi:10.1186/s44452-026-00024-w · Cited by 7
Vance, G. R., Bloodworth, C., Gleason, P. E., Benedict, K. C., Kalin, S. J., & Davis, J. M. (2025) · Cureus · doi:10.7759/cureus.77321 · Cited by 4
Newland, M., Lee, C. C., Li, C., Sun, A., & Potochny, J. D. (2025) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000012202 · Cited by 3
Metadata
- Authors
- Kalmar, C. L., Park, B. C., Kassis, S., Higdon, K. K., & Perdikis, G.
- Affiliations
- Vanderbilt University Medical Center (US)
- Corresponding author
- Kalmar, Christopher L.
- Venue
- Journal of Plastic, Reconstructive & Aesthetic Surgery
- Publisher
- Elsevier BV
- Published
- 2022-09
- Volume
- 75
- Issue
- 9
- Pages
- 3541-3550
- ISSN
- 1748-6815 (ISSN-L)
- OpenAlex
- W4225014410
- Semantic Scholar
- 0c16717028e9729513ae231044717b7b046bd32b
- Cited by
- 25
- References
- 28
- Citations by year
- 2026: 7 · 2025: 8 · 2024: 7 · 2023: 3
- FWCI
- 4.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- Locations
- Journal of Plastic Reconstructive & Aesthetic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Body Contouring and Surgery
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Surgery › Congenital Anomalies and Fetal Surgery
- Keywords
- postoperative complications, risk factors, surgical site infection, wound dehiscence, postoperative bleeding, hospital readmission, reoperation, comorbidities, massive weight loss, bariatric surgery, National Surgical Quality Improvement Program
- MeSH terms
- Humans, Postoperative Complications, Retrospective Studies, Risk Factors, Surgical Wound Infection, Lipectomy, Bariatric Surgery, Abdominoplasty
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- The paper
- Kalmar, C. L., Park, B. C., Kassis, S., Higdon, K. K., & Perdikis, G. (2022). Functional panniculectomy vs cosmetic abdominoplasty: multicenter analysis of risk factors and complications. Journal of Plastic, Reconstructive & Aesthetic Surgery. https://doi.org/10.1016/j.bjps.2022.04.057
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
