Peter Willems, Azra Sattler, Clara Amini, Sylvia Weiner, Henrik Menke
{"title":"[Post-Bariatric Body Contouring Surgery: An Analysis of Postoperative Complications and Influencing Factors].","authors":"Peter Willems, Azra Sattler, Clara Amini, Sylvia Weiner, Henrik Menke","doi":"10.1055/a-2599-8625","DOIUrl":null,"url":null,"abstract":"<p><p>The rising prevalence of obesity and bariatric surgery has led to an increased demand for reconstructive body contouring procedures. Despite growing expertise and well-established surgical techniques, postoperative complications remain a significant challenge. This study analyses postoperative complications and potential risk factors.In a prospective cohort study, data from 606 patients who had undergone reconstructive body contouring surgery were collected between 2015 and July 2024. Focusing on abdominal contouring procedures, we analysed complication rates and their influencing factors, including BMI, resection weight, and type of weight loss (bariatric surgery vs. lifestyle modification). Statistical analysis was performed using the Mann-Whitney U test, chi-square test, and ROC curve analysis.The overall rate of postoperative complications was 37.5%, with wound healing disorders being most common (21.5%). Patients who had undergone bariatric surgery experienced significantly more complications than those who had lost weight through lifestyle changes (p=0.029). A higher BMI at the time of surgery (cut-off: 31) and a disproportionately high resection weight relative to BMI (index>105) were significant predictors of postoperative complications (p<0.001).These findings underscore the importance of individualised preoperative planning that accounts for factors such as BMI and resection volume. A resection weight-to-BMI index may serve as a useful tool for future risk assessment in abdominal contouring surgery, with the potential to optimise surgical outcomes, minimise complications, and facilitate transparent benchmarking.</p>","PeriodicalId":520635,"journal":{"name":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","volume":" ","pages":""},"PeriodicalIF":0.6000,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1055/a-2599-8625","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
The rising prevalence of obesity and bariatric surgery has led to an increased demand for reconstructive body contouring procedures. Despite growing expertise and well-established surgical techniques, postoperative complications remain a significant challenge. This study analyses postoperative complications and potential risk factors.In a prospective cohort study, data from 606 patients who had undergone reconstructive body contouring surgery were collected between 2015 and July 2024. Focusing on abdominal contouring procedures, we analysed complication rates and their influencing factors, including BMI, resection weight, and type of weight loss (bariatric surgery vs. lifestyle modification). Statistical analysis was performed using the Mann-Whitney U test, chi-square test, and ROC curve analysis.The overall rate of postoperative complications was 37.5%, with wound healing disorders being most common (21.5%). Patients who had undergone bariatric surgery experienced significantly more complications than those who had lost weight through lifestyle changes (p=0.029). A higher BMI at the time of surgery (cut-off: 31) and a disproportionately high resection weight relative to BMI (index>105) were significant predictors of postoperative complications (p<0.001).These findings underscore the importance of individualised preoperative planning that accounts for factors such as BMI and resection volume. A resection weight-to-BMI index may serve as a useful tool for future risk assessment in abdominal contouring surgery, with the potential to optimise surgical outcomes, minimise complications, and facilitate transparent benchmarking.