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Master Thesis

The effect of body mass index on postoperative complications after reduction mammaplasty and abdominoplasty: a prospective study about 200 cases

Abstract : Background: The purpose of this prospective study was to evaluate the incidence of Body Mass Index (BMI) on postoperative complications of reduction mammaplasty (BBR) and abdominoplasty. The goal was to set a cut-off BMI and propose guidelines for clinical practice. Methods: 200 patients were enrolled from January 2012 to March 2014. Patients were separated into two groups: Group 1 (BMI < 27 kg/cm2) and Group 2 (BMI ≥ 27 kg). Complications were categorized according to the Clavien-Dindo international classification into minor (Grade I, II) or major (Grade III, IV). A biostatistician from the Grenoble Clinical Investigation Center performed statistical analysis. Results: 128 BBR and 72 abdominoplasties were performed on 193 females and 7 males. The mean BMI was 26.8 kg/cm2. The overall complication rate was 24.5% with 23% of minor and 4.5% of major complications. 113 patients were classified in Group 1 and 87 in Group 2. There was no statistical difference between groups for the overall complication rate (respectively 22.1% versus 27.6%, p = 0.373). There was no difference regarding minor and major complications (p = 0.311 and p = 0.952). It was not possible to set a cut-off BMI. Conclusions: BMI, in this study, was not a risk factor for surgical complications after body contouring procedure. Considering the benefits of this surgery, non-smoker patients with a BMI lower than 40 should undergo the procedure after a preanesthesia evaluation.
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Master Thesis
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Juliette Coudurier. The effect of body mass index on postoperative complications after reduction mammaplasty and abdominoplasty: a prospective study about 200 cases. Human health and pathology. 2014. ⟨dumas-01079798⟩

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