Extending the Limits of Microsurgical Reconstruction in Patients with Moderate to Very Severe Obesity: Single-Center 6-Year Experiences.

Détails

ID Serval
serval:BIB_53C20DEA7A70
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Extending the Limits of Microsurgical Reconstruction in Patients with Moderate to Very Severe Obesity: Single-Center 6-Year Experiences.
Périodique
Journal of reconstructive microsurgery
Auteur(s)
Heidekrueger P.I., Heine-Geldern A., Ninkovic M., Herter F., Mueller C., Broer P.N.
ISSN
1098-8947 (Electronic)
ISSN-L
0743-684X
Statut éditorial
Publié
Date de publication
02/2017
Peer-reviewed
Oui
Volume
33
Numéro
2
Pages
124-129
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Background Worldwide obesity has more than doubled since 1980. Given this epidemic change, surgical and medical care has become more complex as obesity is a known risk factor for complications. Consequently, one could expect a higher prevalence of medical and surgical complications in an obese patient collective in the setting of free tissue transfer. Goal of this study was to evaluate whether this assumption holds true. Material and Methods Between January 2009 and June 2015, 838 patients underwent free tissue transfers at a single institution. The cases were divided into three groups using the World Health Organization body mass index (BMI) criteria into a nonobese (n = 751), a moderately obese (n = 59), and a severely to very severely obese group (n = 28). The series was retrospectively analyzed and the groups were compared regarding the potential influence of BMI in respect to surgical complications and outcomes. Results Overall, there was no significant difference in morbidity between the groups of patients regarding the rate of surgical complications during our 3-month follow-up period. Conclusion This study analyzed a large series of microsurgical reconstructions, with a focus on the impact of patient obesity on outcomes. Our findings suggest that despite higher rates of patient comorbidities, successful free tissue transfer can be achieved in this population with acceptable risk for complications.

Mots-clé
Adult, Aged, Aged, 80 and over, Comorbidity, Female, Free Tissue Flaps/blood supply, Humans, Intraoperative Complications, Male, Microsurgery, Middle Aged, Obesity/complications, Obesity/physiopathology, Obesity/surgery, Patient Safety, Patient Selection, Postoperative Complications/physiopathology, Postoperative Complications/surgery, Reconstructive Surgical Procedures/adverse effects, Reconstructive Surgical Procedures/methods, Retrospective Studies, Risk Factors, Severity of Illness Index, Wounds and Injuries/surgery, Young Adult
Pubmed
Web of science
Création de la notice
29/11/2016 16:36
Dernière modification de la notice
20/08/2019 15:08
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