Age Is Just a Number? The Impact of Age on Abdominoplasty Outcomes: A Single Surgeon Experience

IF 2 3区医学 Q2 SURGERY

Aesthetic Plastic Surgery Pub Date : 2024-10-01 DOI:10.1007/s00266-024-04381-8

Ron Skorochod, Assil Mahamid, Yoram Wolf

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引用次数: 0

Abstract

Background

Abdominoplasty is among the most popular aesthetic procedures in plastic surgery worldwide. Common indications include prior massive weight loss, surgical or not, with remaining skin excess and post-pregnancy women looking to restore their youthful abdominal contour.

Aging of the worldwide population results in a greater number of older patients interested in aesthetic procedures. Identifying the impact of age on abdominoplasty outcomes is crucial in ensuring the safety of care and determining sub-optimal patients that might not benefit from the procedure.

Materials and Methods

Medical records of all abdominoplasty patients operated by the senior author were screened for appropriate patients. Patients were excluded from the study if the mandatory follow-up time was not met or in instances of incomplete medical records.

Patients were further stratified into 5 age groups based on age and compared using pre-operative, intra-operative and post-operative characteristics. Further regression analysis was performed to estimate the risk of complications for each individual age group, in an unadjusted and adjusted model.

Results

Six hundred and seventy-three patients were included in the study.

Statistically significant differences were noted between the groups in respect smokers, prior bariatric surgery, and hypertension, diabetes mellitus and dyslipidemia (p values <0.01).

Seroma rates, were greatest in the oldest age group (P value = 0.039).

Odds ratio of 3.3 was calculated for seroma development in patients aged greater than 60. In a multivariate analysis, the risk diminished and was found to be statistically insignificant.

Conclusion

Abdominoplasty is a safe procedure in all age groups. Increased rates of specific complications must be assessed in relation to potential confounders that exist between different age groups.

Level of Evidence III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

查看原文本刊更多论文

年龄只是一个数字？年龄对腹壁成形术结果的影响：单个外科医生的经验。

背景：腹部整形术是全球整形外科中最受欢迎的美容手术之一。常见的适应症包括：曾大量减肥（无论手术与否）、剩余皮肤过多以及希望恢复年轻腹部轮廓的孕后妇女。全球人口老龄化导致越来越多的老年患者对美容手术感兴趣。确定年龄对腹部整形手术效果的影响对于确保护理安全和确定可能无法从手术中获益的次优患者至关重要：对资深作者操作的所有腹部整形手术患者的医疗记录进行筛选，寻找合适的患者。如果未达到规定的随访时间或医疗记录不完整，则将患者排除在研究之外。根据年龄将患者进一步分为 5 个年龄组，并使用术前、术中和术后特征进行比较。在未调整和调整模型中，进一步进行了回归分析，以估计每个年龄组的并发症风险：研究共纳入 673 名患者。在吸烟者、曾接受过减肥手术、高血压、糖尿病和血脂异常等方面，各组之间存在明显的统计学差异（P 值结论：腹部整形手术是一种安全的手术：腹壁成形术在所有年龄组中都是安全的。必须根据不同年龄组之间存在的潜在混杂因素来评估特定并发症发生率的增加：本期刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整说明，请参阅目录或在线作者须知 www.springer.com/00266 。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aesthetic Plastic Surgery 医学-外科

CiteScore

4.40

自引率

25.00%

发文量

479

审稿时长

3 months

期刊介绍： Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP). Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships. Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.