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Obesity Surgery

, Volume 29, Issue 2, pp 426–433 | Cite as

Advanced Age Is a Risk Factor for Complications Following Abdominal Panniculectomy

  • Michael J. Cammarata
  • Rami S. Kantar
  • William J. Rifkin
  • Jason A. Greenfield
  • Jamie P. Levine
  • Daniel J. CeradiniEmail author
Original Contributions
  • 84 Downloads

Abstract

Background

Widespread adoption of bariatric surgery in the treatment of obesity has led to greater numbers of patients seeking panniculectomy, including aged patients, who represent a rapidly growing proportion of the U.S population. Although the quality of life and functional benefits of abdominal panniculectomy have been established, its safety in patients 65 years and older has not been evaluated.

Methods

The American College of Surgeons National Surgical Quality Improvements (ACS-NSQIP) database was used to identify patients undergoing panniculectomy between 2010 and 2015. Age 65 years and older was the risk factor of interest, and primary outcomes included 30-day wound complications, overall complications, reoperation, readmission, and mortality. Multivariate regression was performed to control for confounders.

Results

Review of the database identified 7030 patients who underwent abdominal panniculectomy. When stratified by age, 6455 (91.8%) of patients were younger than 65, and 575 (8.2%) were 65 or older. Multivariate regression analysis demonstrated that age over 65 was a significant independent risk factor for wound complications (OR = 1.81; 95% CI 1.35–2.42; p < 0.001) and all complications (OR = 1.46; 95% CI 1.15–1.87; p = 0.002). BMI, smoking, diabetes, and partial or total dependence were also identified as significant independent risk factors for wound and all complications.

Conclusion

Our analysis demonstrates that advanced age is an independent risk factor for wound and overall complications following abdominal panniculectomy. These results highlight the importance of preoperative evaluation and optimization of modifiable preoperative risk factors as well as close postoperative follow-up for safe outcomes in patients 65 and older.

Keywords

Panniculectomy Abdominal panniculectomy Advanced age Body contouring Bariatric surgery 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Hansjörg Wyss Department of Plastic SurgeryNew York University Langone Medical CenterNew YorkUSA

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