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WFRF:(Moustafa Ahmed)
 

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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004883naa a2200409 4500
001oai:DiVA.org:liu-206375
003SwePub
008240816s2024 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-2063752 URI
0247 a https://doi.org/10.1007/s00266-024-04220-w2 DOI
040 a (SwePub)liu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Ibrahim, Ahmedu Nottingham Univ Hosp, England4 aut
2451 0a Patient Weight and Chemoprophylaxis in Abdominoplasty: Does It Result in More Bleeding Events?
264 c 2024
264 1b Springer,c 2024
338 a electronic2 rdacarrier
500 a Funding Agencies|Linkoping University; Department of Hand Surgery, Plastic Surgery and Burns; Linkoping University Hospital Region Ostergotland; Linkoping University, Linkoping, Sweden
520 a BackgroundBariatric surgery has gained popularity in recent decades as an effective treatment for obesity. Abdominoplasty is one of the most often performed aesthetic procedures all over the world. In post-bariatric patients undergoing abdominoplasty, the diameter size and number of the abdominal wall perforators increase proportionally with increased body weight. Postoperative complications that may occur are haematoma, and venous thromboembolism (VTE). In plastic surgery procedures VTE prophylaxis grades vary due to the lack of consensus and clear guidelines. The aim of this study was to explore the frequency of postoperative bleeding and VTE in patients undergoing abdominoplasty and to explore the risk factors associated with major bleeding.MethodsA retrospective single-centre study of adult patients who were operated on by abdominoplasty between 2011 and 2020. Chemoprophylaxis including low molecular weight heparin (LMHW) was recommended when the operating time exceeded 2 h.ResultsA total of 102 patients were included. There were no patients with VTE. Eight patients were re-operated for major haematoma. The weight loss (peak weight to weight before the abdominoplasty) was 14.4 kg larger in the re-operation group (p = 0.03). Eighty-eight percent in the re-operation group and 67% in the other group were treated with LMWH (p = 0.43). Multivariable logistic regression showed that with each decrease from the peak in BMI kg/m2 the risk of re-operation for major haematoma was increased by 22% (p = 0.02).ConclusionAbdominoplasty in patients after massive weight loss has a higher risk of postoperative bleeding. Having a clear protocol for chemoprophylaxis should be considered.Level of Evidence IIIThis 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.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng
653 a Abdominoplasty; Chemoprophylaxis; Post-massive weight loss; Haematoma; Bleeding; Venous thromboembolism
7001 a Steinvall, Ingridu Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Hand- och plastikkirurgiska kliniken US4 aut0 (Swepub:liu)ingst90
7001 a Elawa, Sherifu Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Hand- och plastikkirurgiska kliniken US4 aut0 (Swepub:liu)sheel70
7001 a Ellabban, Mohamed A.u Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Hand- och plastikkirurgiska kliniken US,Suez Canal Univ, Egypt4 aut0 (Swepub:liu)mohel22
7001 a Mohamed, Mostafa K.u Nottingham Univ Hosp, England4 aut
7001 a Elmasry, Moustafau Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Hand- och plastikkirurgiska kliniken US4 aut0 (Swepub:liu)mouel27
7001 a Abdelrahman, Islamu Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Hand- och plastikkirurgiska kliniken US4 aut0 (Swepub:liu)islab76
7102 a Nottingham Univ Hosp, Englandb Avdelningen för kirurgi, ortopedi och onkologi4 org
7730 t Aesthetic Plastic Surgeryd : Springerx 0364-216Xx 1432-5241
8564 u https://doi.org/10.1007/s00266-024-04220-wy Fulltext
8564 u https://liu.diva-portal.org/smash/get/diva2:1889848/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-206375
8564 8u https://doi.org/10.1007/s00266-024-04220-w

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