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Text
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URL Address
<a href="http://doi.org/10.1002/ijgo.12207" target="_blank" rel="noreferrer noopener">http://doi.org/10.1002/ijgo.12207</a>
Pages
207–211
Issue
2
Volume
138
Dublin Core
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Title
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Evaluation of indicated non-cosmetic panniculectomy at time of gynecologic surgery.
Publisher
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International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
Date
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2017
2017-08
Subject
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*Abdominoplasty/adverse effects; *Gynecologic Surgical Procedures/adverse effects; 80 and over; 80 and Over; Abdominal/*surgery; Abdominoplasty – Adverse Effects; Adipose Tissue – Surgery; Adult; Aged; Body Mass Index; Female; Female – Complications; Female – Surgery; Female/complications/*surgery; Genital Diseases; Gynecologic – Adverse Effects; Gynecologic surgery; Humans; Infection; Middle Age; Middle Aged; Obesity; Obesity – Complications; Obesity – Surgery; Obesity/complications/*surgery; Panniculectomy; Retrospective Design; Retrospective Studies; Risk Factors; Subcutaneous Fat; Surgery; Surgical Wound Infection – Etiology; Surgical Wound Infection/*etiology; Wound complication; Wound Healing
Creator
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Rasmussen Ryan W; Patibandla Jay R; Hopkins Michael P
Description
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OBJECTIVE: To report postoperative outcomes among patients undergoing indicated non-cosmetic panniculectomy at the time of gynecologic surgery. METHODS: Medical charts were retrospectively reviewed for patients who underwent panniculectomy coupled with gynecologic surgery at a university-affiliated hospital in the USA in 1990-2014. The data reviewed included age, body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters), surgical procedure, estimated blood loss, pathology, wound complication, diabetes, hypertension, smoking, and readmission rate. One-way analysis of variance and logistic regression were used to evaluate the data. RESULTS: In total, 300 patients underwent panniculectomy; the mean age was 51 years and the mean BMI was 46. Overall, there were 94 (31.3%) complications, including 85 (28.3%) cases of superficial cellulitis and 9 (3.0%) cases of surgical-site infection. In logistic regression, diabetes, hypertension, and smoking were significant predictors of wound complications, identifying 78% of women who subsequently developed wound complications. CONCLUSION: Panniculectomy combined with gynecologic surgery was found to be safe and effective for obese patients, with an acceptable incidence of wound infection. History of diabetes, hypertension, and smoking increased the risk of postoperative wound complications. These factors will help to predict patients at risk of wound complication.
Identifier
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<a href="http://doi.org/10.1002/ijgo.12207" target="_blank" rel="noreferrer noopener">10.1002/ijgo.12207</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Abdominoplasty/adverse effects
*Gynecologic Surgical Procedures/adverse effects
2017
80 and over
Abdominal/*surgery
Abdominoplasty – Adverse Effects
Adipose Tissue – Surgery
Adult
Aged
Body Mass Index
Female
Female – Complications
Female – Surgery
Female/complications/*surgery
Genital Diseases
Gynecologic – Adverse Effects
Gynecologic surgery
Hopkins Michael P
Humans
Infection
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
Middle Age
Middle Aged
Obesity
Obesity – Complications
Obesity – Surgery
Obesity/complications/*surgery
Panniculectomy
Patibandla Jay R
Rasmussen Ryan W
Retrospective Design
Retrospective Studies
Risk Factors
Subcutaneous Fat
Surgery
Surgical Wound Infection – Etiology
Surgical Wound Infection/*etiology
Wound complication
Wound Healing