1
40
2
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Text
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URL Address
<a href="http://doi.org/10.1097/01.prs.0000254529.51696.43" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/01.prs.0000254529.51696.43</a>
Pages
1319–1325
Issue
4
Volume
119
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Increased intraabdominal pressure in abdominoplasty: delineation of risk factors.
Publisher
An entity responsible for making the resource available
Plastic and reconstructive surgery
Date
A point or period of time associated with an event in the lifecycle of the resource
2007
2007-04
Subject
The topic of the resource
*Pressure; Abdominal Cavity/*physiopathology; Abdominal Wall/physiopathology/*surgery; Adult; Body Mass Index; Female; Humans; Linear Models; Lipectomy/*adverse effects; Middle Aged; Morbid/*surgery; Nonparametric; Obesity; Pilot Projects; Postoperative Complications; Probability; Prognosis; Prospective Studies; Rectus Abdominis/surgery; Risk Assessment; Statistics; Treatment Outcome
Creator
An entity primarily responsible for making the resource
Huang Georgeanna J; Bajaj Anureet K; Gupta Subhas; Petersen Floyd; Miles Duncan A G
Description
An account of the resource
BACKGROUND: Abdominoplasty is associated with a 1.1 percent risk of deep venous thrombosis. This has been attributed to rectus plication causing intraabdominal hypertension, known to effect decreased venous return, venous stasis, and thus thrombosis. The authors conducted a pilot study to determine which components of the abdominoplasty procedure (i.e., general anesthesia, flexion of the bed, plication, and/or binder placement) may elevate intraabdominal pressures and whether this was clinically relevant. METHODS: Twelve abdominoplasty and 10 breast reduction (control) patients were enrolled prospectively. Intraabdominal pressure was transduced through the bladder before plication in the supine and flexed positions, after plication in both positions, after skin closure in the flexed position, and on postoperative day 1 with and without a binder in the flexed position. RESULTS: All intraabdominal pressures measured were clinically insignificant (\textless20 mm Hg). A statistically significant increase was found from flexion of the bed (mean difference, 3.80 +/- 2.0, p \textless 0.001, in the control group; and 4.39 +/- 1.68, p \textless 0.001, in the study group); rectus plication (mean difference, 2.78 +/- 2.11, p = 0.001, in the supine position; and 2.03 +/- 2.48, p = 0.016, in the flexed position); and binder placement (2.63 mm Hg for no binder versus 4.5 mm Hg with binder, p = 0.004). Both groups also showed an increase from preoperative to skin closure (mean difference, 2.03 +/- 6.7, p = 0.035, for the control group; and 2.83 +/- 3.97, p = 0.031, for the study group), suggesting general anesthesia as a risk factor. CONCLUSIONS: This study confirms the effect of rectus plication on increasing intraabdominal pressures but also implicates bed position, binder placement, and general anesthetic as risk factors. A larger study is needed to clarify the role of these variables in elevating intraabdominal pressure during abdominoplasty.
Identifier
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<a href="http://doi.org/10.1097/01.prs.0000254529.51696.43" target="_blank" rel="noreferrer noopener">10.1097/01.prs.0000254529.51696.43</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).
*Pressure
2007
Abdominal Cavity/*physiopathology
Abdominal Wall/physiopathology/*surgery
Adult
Bajaj Anureet K
Body Mass Index
Female
Gupta Subhas
Huang Georgeanna J
Humans
Linear Models
Lipectomy/*adverse effects
Middle Aged
Miles Duncan A G
Morbid/*surgery
Nonparametric
Obesity
Petersen Floyd
Pilot Projects
Plastic and reconstructive surgery
Postoperative Complications
Probability
Prognosis
Prospective Studies
Rectus Abdominis/surgery
Risk Assessment
Statistics
Treatment Outcome
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1067/mob.2000.107333" target="_blank" rel="noreferrer noopener">http://doi.org/10.1067/mob.2000.107333</a>
Pages
1502–1505
Issue
6
Volume
182
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Panniculectomy at the time of gynecologic surgery in morbidly obese patients.
Publisher
An entity responsible for making the resource available
American journal of obstetrics and gynecology
Date
A point or period of time associated with an event in the lifecycle of the resource
2000
2000-06
Subject
The topic of the resource
*Gynecologic Surgical Procedures; Adult; Aged; Evaluation Studies as Topic; Female; Humans; Hysterectomy; Incidence; Middle Aged; Morbid/*surgery; Obesity; Retrospective Studies; Surgical Wound Dehiscence/epidemiology; Time Factors; Wound Infection/epidemiology
Creator
An entity primarily responsible for making the resource
Hopkins M P; Shriner A M; Parker M G; Scott L
Description
An account of the resource
OBJECTIVE: Our goal was to demonstrate that panniculectomy performed at the time of gynecologic surgery aids in reducing the operative time and exposure and does not increase the wound infection rate in morbidly obese patients. STUDY DESIGN: A retrospective survey was performed of massively obese patients who underwent panniculectomy at the time of gynecologic surgery at Northeastern Ohio Universities College of Medicine consortium hospitals from 1990-1999. Data collected during surgery included the patient's weight, operative opening and closing times, blood loss, and weight of the removed panniculus adiposus. Postoperative wound infection rates were monitored, and patients were followed up for 6 months. RESULTS: Seventy-eight patients underwent the following operations: radical hysterectomy (n = 19), extrafascial hysterectomy (n = 18), standard hysterectomy (n = 32), or other gynecologic surgery (n = 9). The average blood loss was 71 mL. Opening and closing times were 27 and 33 minutes, respectively, adding a minimal amount of operative time to the required gynecologic surgery. The average removed panniculus adiposus weighed 4745 g. Efficiency in obtaining exposure to the operative site was noted. A total of 2 wound infections were recorded in the postoperative period. In 1 case debridement was required, and in the other healing occurred by secondary intention. Minimal separation occurred in 4 other cases and required no intervention. CONCLUSION: Massively obese patients can safely undergo panniculectomy simultaneously with a gynecologic procedure. The difficulty with operative exposure is reduced, and these patients are better served intraoperatively. Postoperatively, the wound infection rates quoted for this population were markedly improved from prior studies and involved a larger group of patients.
Identifier
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<a href="http://doi.org/10.1067/mob.2000.107333" target="_blank" rel="noreferrer noopener">10.1067/mob.2000.107333</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).
*Gynecologic Surgical Procedures
2000
Adult
Aged
American journal of obstetrics and gynecology
Evaluation Studies as Topic
Female
Hopkins M P
Humans
Hysterectomy
Incidence
Middle Aged
Morbid/*surgery
Obesity
Parker M G
Retrospective Studies
Scott L
Shriner A M
Surgical Wound Dehiscence/epidemiology
Time Factors
Wound Infection/epidemiology