{"title":"Previous Cesarean Section Delivery Increases the Risk for Seroma Development in Abdominoplasty Patients: Our Experience With 746 Patients.","authors":"Ron Skorochod, Eran Hadad, Yoram Wolf","doi":"10.1093/asj/sjae164","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Complications after body-contouring surgery are a field of great interest. Recognition of patient-related characteristics contributing to a greater risk for complication is of the utmost importance in improving the quality of care and safety profile of aesthetic procedures. Previous history of cesarean section (CS) and its impact on adverse events after abdominoplasty has yet to be investigated and defined.</p><p><strong>Objectives: </strong>Our objective was to evaluate the effect of previous cesarean section on the risk for adverse events in abdominoplasty.</p><p><strong>Methods: </strong>The medical records of 746 eligible patients were reviewed, and relevant information was extracted. Stratification of patients based on a previous history of CS was followed by statistical analysis of differences between the groups. Relevant regression models were implemented to further understand the data.</p><p><strong>Results: </strong>Seven hundred forty-six patients were included in the study, of which 308 (43.1%) had history of CS delivery. The group did not differ in baseline demographic and surgical details, except for a greater hemoglobin level in the non-CS patients (P = .007). Analysis of complication rates revealed a statistically significant increase in the risk for seroma development in the group of patients with a history of CS delivery (P = .031), which correlated to a 65% increase in the risk for complications (odds ratio = 1.65, 95% CI 1.07-2.56).</p><p><strong>Conclusions: </strong>A medical history of CS increases the risk for seroma development in the postoperative period following abdominoplasty. Several potential pathogenic mechanisms exist, and further prospective research is needed to further characterize the association.</p><p><strong>Level of evidence: 3: </strong></p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"NP886-NP891"},"PeriodicalIF":3.0000,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Aesthetic Surgery Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/asj/sjae164","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Complications after body-contouring surgery are a field of great interest. Recognition of patient-related characteristics contributing to a greater risk for complication is of the utmost importance in improving the quality of care and safety profile of aesthetic procedures. Previous history of cesarean section (CS) and its impact on adverse events after abdominoplasty has yet to be investigated and defined.
Objectives: Our objective was to evaluate the effect of previous cesarean section on the risk for adverse events in abdominoplasty.
Methods: The medical records of 746 eligible patients were reviewed, and relevant information was extracted. Stratification of patients based on a previous history of CS was followed by statistical analysis of differences between the groups. Relevant regression models were implemented to further understand the data.
Results: Seven hundred forty-six patients were included in the study, of which 308 (43.1%) had history of CS delivery. The group did not differ in baseline demographic and surgical details, except for a greater hemoglobin level in the non-CS patients (P = .007). Analysis of complication rates revealed a statistically significant increase in the risk for seroma development in the group of patients with a history of CS delivery (P = .031), which correlated to a 65% increase in the risk for complications (odds ratio = 1.65, 95% CI 1.07-2.56).
Conclusions: A medical history of CS increases the risk for seroma development in the postoperative period following abdominoplasty. Several potential pathogenic mechanisms exist, and further prospective research is needed to further characterize the association.
期刊介绍：
Aesthetic Surgery Journal is a peer-reviewed international journal focusing on scientific developments and clinical techniques in aesthetic surgery. The official publication of The Aesthetic Society, ASJ is also the official English-language journal of many major international societies of plastic, aesthetic and reconstructive surgery representing South America, Central America, Europe, Asia, and the Middle East. It is also the official journal of the British Association of Aesthetic Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery and The Rhinoplasty Society.
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