Safety of Aesthetic Surgery in the Overweight Patient: Analysis of 127,961 Patients

Gupta, Varun; Winocour, Julian; Rodriguez-Feo, Charles; Bamba, Ravinder; Shack, R. Bruce; Grotting, James C.; Higdon, Kent

doi:10.1093/asj/sjv268

Cited by 63 publications

(25 citation statements)

References 39 publications

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“…Patients also may not qualify for these operations on the NHS in their countries of origin due to high BMI, smoking, or certain comorbidities. A high BMI (>25 kg/m 2 ) has been deemed an independent risk factor for postoperative infection and thromboembolism in the literature, 12–14 which was reflected in our study. It was also discovered that a psychiatric patient was allowed to undergo multiple cosmetic operations abroad simultaneously, which highlighted the potential lack of safe preoperative screening and the overlooking of ethical considerations by overseas surgeons for surgical tourists.…”

Section: Discussionsupporting

confidence: 60%

Complications of Cosmetic Surgery Abroad – Cost Analysis and Patient Perception

Farid

Nikkhah

Little

et al. 2019

Plastic and Reconstructive Surgery - Global Open

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Section: Discussionsupporting

confidence: 60%

Complications of Cosmetic Surgery Abroad – Cost Analysis and Patient Perception

Farid

Nikkhah

Little

et al. 2019

Plastic and Reconstructive Surgery - Global Open

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“…The overweight and obese population has increased sharply in recent years 1 . This is both a concern for general healthcare and a major risk factor for related diseases and perioperative morbidity 2 .…”

Section: Introductionmentioning

confidence: 99%

Effects of ventilatory strategy on arterial oxygenation and respiratory mechanics in overweight and obese patients undergoing posterior spine surgery

Kim

Choi

Lee

et al. 2019

Sci Rep

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Prolonged inspiratory to expiratory (I:E) ratio ventilation may improve arterial oxygenation or gas exchange and respiratory mechanics in patients with obesity. We performed a randomised study to compare the effects of the conventional ratio ventilation (CRV) of 1:2 and the equal ratio ventilation (ERV) of 1:1 on arterial oxygenation and respiratory mechanics during spine surgery in overweight and obese patients. Fifty adult patients with a body mass index of ≥25 kg/m2 were randomly allocated to receive an I:E ratio either l:2 (CRV; n = 25) or 1:1 (ERV; n = 25). Arterial oxygenation and respiratory mechanics were recorded in the supine position, and at 30 minutes and 90 minutes after placement in the prone position. The changes in partial arterial oxygen pressure (PaO2) over time did not differ between the groups. The changes in partial arterial carbon dioxide pressure over time were significantly different between the two groups (P = 0.040). The changes in mean airway pressure (Pmean) over time were significantly different between the two groups (P = 0.044). Although ERV provided a significantly higher Pmean than CRV during surgery, the changes in PaO2 did not differ between the two groups.

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“…Obesity and overweight are universal worldwide health problems of growing prevalence rates. [1] They are associated with risks for the physical and psychological wellbeing of individuals. They have been linked to many ailments and illnesses affecting adults [2], children [3], as well as women in reproductive age [4].…”

Section: Introductionmentioning

confidence: 99%

Effect of Liposuction on Overweight/Obese Patients’ Eating Concerns, Body Shape Concerns, and Self-esteem

Souilm¹,

Shokre²

2018

AJNR

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Obesity is a growing public health problem in Egypt, with many physical and psychological deleterious effects. Liposuction could have a positive effect on patients' psychology. The aim of this study was to examine the effect of liposuction on overweight/obese patients' eating concerns, body shape concerns, and self-esteem. This quasi-experimental one-group study was conducted in Bedayat private Hospital in Cairo on 70 adult patients undergoing liposuction. A self-administered questionnaire with three validated scales for eating concerns, body shape concerns, and self-esteem was utilized in data collection before and after liposuction. The fieldwork lasted from April to July 2018. The results showed that 84.3% of the patients were, with age range 23 to 58 years. There were significant decreases in the percentages of patients having dyslipidemia, from 25.7% before the liposuction to 5.7% after the liposuction (p=0.001). The scores of eating showed improvements (p<0.001), and the frequency of unhealthy eating practices decreased (p<0.001). The mean score of body shape concerns decreased from 5.1 before liposuction to 2.1 after liposuction (p<0.001), whereas the mean sores of self-esteem domains increased (p<0.001). In multivariate analysis, liposuction was the only significant independent negative predictor of the eating concern and body shape concern scores, and a significant positive predictor of the self-esteem score. In conclusion, liposuction is a safe procedure that leads to significant improvements in the patients' eating concerns, body shape concerns, and self-esteem. The procedure is recommended for those suffering from such concerns and/or having low self-esteem. Further research is proposed to examine the long-term effects of liposuction on these parameters.

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Safety of Aesthetic Surgery in the Overweight Patient: Analysis of 127,961 Patients

Abstract: Overweight (BMI 25-29.9) and obesity (BMI ≥ 30) are both independent risk factors for post-operative infection and VTE in aesthetic surgery. LEVEL OF EVIDENCE 2: Risk.

Cited by 63 publications

References 39 publications

Complications of Cosmetic Surgery Abroad – Cost Analysis and Patient Perception

Complications of Cosmetic Surgery Abroad – Cost Analysis and Patient Perception

Effects of ventilatory strategy on arterial oxygenation and respiratory mechanics in overweight and obese patients undergoing posterior spine surgery

Effect of Liposuction on Overweight/Obese Patients’ Eating Concerns, Body Shape Concerns, and Self-esteem

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