Long Drainers After Abdominoplasty: A Risk Analysis.

IF 2 3区医学 Q2 SURGERY

Aesthetic Plastic Surgery Pub Date : 2025-03-25 DOI:10.1007/s00266-025-04773-4

Margarida Alves, Margarida Mendes, Rita Valença-Filipe, Marco Rebelo, Helena Peres, António Costa-Ferreira

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引用次数: 0

Abstract

Background: Suction drains are still one of the most accepted strategies for lowering abdominoplasty postoperative complications. Long periods with drains have been reported after a full abdominoplasty and are associated with patient discomfort, limited mobility, and slower recovery. The clinical profile of Long drainers has yet to be investigated.

Objective: Identify risk factors that increase the number of days with drains.

Methods: A single-center retrospective observational study of patients submitted to classical abdominoplasty was performed. Patients were allocated to one of two groups: Long drainers (≥ 6 days with drains) and Short drainers (< 6 days with drains). Several variables were determined: age, sex, body mass index, medical comorbidities (hypertension and diabetes mellitus), previous surgical procedures, specimen weight, time to suction drain removal, and drain output.

Results: In total, 418 patients were included in this study, and 36% were Long drainers. There was a statistically significant difference between groups regarding total drain output, time until drain removal, body mass index, previous bariatric procedures, and specimen weight, with lower values for Short drainers. No significant differences were found in age, sex, arterial hypertension, diabetes mellitus, and previous abdominal surgery. Specimen weight ≥ 750 g, body mass index ≥ 28 kg/m², and previous bariatric surgery accounted for 75% of Long drainers and increased Long drainer risk by 3.5 times, 3.0 times, and 2.6 times, respectively.

Conclusion: The high-risk profile for long drainage after classical full abdominoplasty is a body mass index ≥ 28 kg/m², previous bariatric procedure, and specimen weight ≥ 750 g. These characteristics may justify using surgical strategies for Long drainer prevention, such as quilting sutures or Scarpa sparing abdominoplasty.

Level of evidence iv: 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

背景：抽吸引流仍是降低腹部整形术后并发症的最常用方法之一。有报告称，在全腹部整形术后长时间使用引流管与患者不适、活动受限和恢复较慢有关。长期引流的临床概况还有待研究：确定增加引流天数的风险因素：方法：对接受传统腹部整形术的患者进行了一项单中心回顾性观察研究。患者被分为两组：长引流者（引流天数≥6 天）和短引流者（结果：共纳入 418 名患者：本研究共纳入 418 名患者，其中 36% 为长引流者。在引流管总排出量、引流管拔出前的时间、体重指数、既往减肥手术和标本重量方面，各组间存在显著统计学差异，其中短引流管患者的数值较低。在年龄、性别、动脉高血压、糖尿病和既往腹部手术方面没有发现明显差异。标本重量≥750 g、体重指数≥28 kg/m2和既往接受过减肥手术的长引流者占75%，长引流者的风险分别增加了3.5倍、3.0倍和2.6倍：经典全腹壁成形术后长引流的高风险特征是体重指数≥28 kg/m2、既往接受过减肥手术、标本重量≥750 g。这些特征可能证明使用绗缝或Scarpa疏松腹壁成形术等手术策略预防长引流的合理性。有关这些循证医学等级的完整描述，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.