Marijuana Use Increases the Risk of Postoperative Bleeding in Patients Undergoing Abdominal Body Contouring.

IF 2 3区医学 Q2 SURGERY

Aesthetic Plastic Surgery Pub Date : 2025-01-07 DOI:10.1007/s00266-024-04651-5

Hayeem Rudy, Yi-Hsueh Lu, Evan Rothchild, Daniel Chernovolenko, Joseph A Ricci

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引用次数: 0

Abstract

Background: The legalization and changing perception of marijuana have led to a significant increase in its use. Although studies exploring marijuana's physiological effects have grown, its effect on surgical outcomes remains unclear. This study investigates the influence of marijuana consumption on postoperative complications in patients undergoing abdominal body contouring surgeries such as abdominoplasties and panniculectomies.

Methods: A retrospective chart review was conducted on patients who underwent abdominal body contouring procedures at an urban academic institution from 2016 to 2021. Data collected included demographic characteristics, marijuana consumption (active use, former use (last use 6 weeks prior to surgery), or never user), preoperative comorbidities, tobacco usage, operative characteristics, and postoperative complication data within 90 days.

Results: A total of 815 patients were included, with 61 patients (7.5%) reporting active marijuana use, 31 patients (3.8%) reporting former marijuana use, and 723 (88.7%) reporting never using marijuana. The average age was 45.32 (SD 11.31), and the average BMI was 29.85 (SD 4.44). At the time of surgery, patients with any history of marijuana use had an increased risk of complications (OR=1.96; p = 0.006), and active marijuana users had a significantly higher risk of hematoma formation (OR = 3.02; p = 0.013).

Conclusions: Active marijuana use was significantly associated with an increased risk of postoperative hematoma formation following abdominal body contouring surgeries. These findings suggest the need for routine preoperative screening and tailored risk-reduction strategies for marijuana users.

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

大麻的使用增加腹部轮廓术患者术后出血的风险。

背景：大麻的合法化和对大麻认知的改变导致其使用量显著增加。尽管探索大麻生理效应的研究越来越多，但它对手术结果的影响仍不清楚。本研究探讨大麻消费对腹部形体整形手术（如腹部成形术和胰腺切除术）患者术后并发症的影响。方法：对2016年至2021年在某城市学术机构进行腹部塑形手术的患者进行回顾性图表分析。收集的数据包括人口统计学特征、大麻消费（积极使用、曾经使用（手术前6周最后一次使用）或从未使用）、术前合并症、烟草使用、手术特征和术后90天内的并发症数据。结果：共纳入815例患者，61例（7.5%）报告正在使用大麻，31例（3.8%）报告曾经使用大麻，723例（88.7%）报告从未使用大麻。平均年龄45.32岁（SD 11.31），平均BMI为29.85 （SD 4.44）。在手术时，有任何大麻使用史的患者发生并发症的风险增加(OR=1.96；p = 0.006)，活跃的大麻使用者血肿形成的风险显著增加(OR = 3.02；P = 0.013)。结论：积极使用大麻与腹部塑形手术后血肿形成的风险增加显著相关。这些发现表明，需要对大麻使用者进行常规术前筛查和量身定制的风险降低策略。证据等级iii：本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描述，请参阅目录或在线作者说明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.