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Cited by 26Body Contouring and SurgeryBariatric Surgery and OutcomesCongenital Anomalies and Fetal Surgery

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.

Kalmar, Christopher L., Park, Benjamin C., Kassis, Salam, Higdon, Kent K., Perdikis, Galen·2022·Journal of Plastic, Reconstructive & Aesthetic Surgery

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.

Overview

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Crossref · 10.1016/j.bjps.2022.04.057

Cites

28 of 28 references verified0 citation errors · 0 not checkable

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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
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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Data sources

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.