The Impact of Operative Time on Complications After Plastic Surgery: A Multivariate Regression Analysis of 1753 Cases

Hardy, Krista L.; Davis, Kathryn E.; Constantine, Ryan S.; Chen, Mo; Hein, Rachel E.; Jewell, James L.; Dirisala, Karunakar; Lysikowski, Jerzy; Reed, Gary; Kenkel, Jeffrey M.

doi:10.1177/1090820x14528503

Cited by 143 publications

(102 citation statements)

References 24 publications

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“…Of note, this time span parallels the recommended operative time for safe bodycontouring practices that are currently in the literature. 40 We recognize that the cosmetic body lift with concomitant procedures may exceed the suggested time frame; however, as previously discussed, no significant complications were seen in our study. Interestingly, our postprocedure protocol and monitoring may limit complications that are periodically reported with these longer operations.…”

Section: Discussioncontrasting

confidence: 40%

Cosmetic Body Lift

Hamra

Small

2016

Plastic and Reconstructive Surgery

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Section: Discussioncontrasting

confidence: 40%

Cosmetic Body Lift

Hamra

Small

2016

Plastic and Reconstructive Surgery

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“…The complexity of surgery is related to the operation time. The more complicated the operation, the longer the operation time, and the worse the outcome of the patient [26]. Duration of surgery and surgical complexity score are all risk factors of nosocomial infections in infants and children undergoing open heart surgery [20,27].…”

Section: Discussionmentioning

confidence: 99%

Risk factors of nosocomial infection after cardiac surgery in children with congenital heart disease

Chen

Liu

et al. 2020

BMC Infect Dis

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Background: The aim of our study was to analyze the risk factors of nosocomial infection after cardiac surgery in children with congenital heart disease (CHD). Methods: We performed a retrospective cohort study, and children with CHD who underwent open-heart surgeries at Shanghai Children's Medical Center from January 1, 2012 to December 31, 2018 were included. The baseline characteristics of these patients of different ages, including neonates (0-1 months old), infants (1-12 months old) and children (1-10 years old), were analyzed, and the association of risk factors with postoperative nosocomial infection were assessed.Results: A total of 11,651 subjects were included in the study. The overall nosocomial infection rate was 10.8%. Nosocomial infection rates in neonates, infants, and children with congenital heart disease were 32.9, 15.4, and 5.2%, respectively. Multivariate logistic regression analysis found age (OR 0798, 95%CI: 0.769-0.829; P < 0.001), STS risk grade (OR 1.267, 95%CI: 1.159-1.385; P < 0.001), body mass index (BMI) <5th percentile (OR 1.295, 95%CI: 1.023-1.639; P = 0.032), BMI >95th percentile (OR 0.792, 95%CI: 0.647-0.969; P = 0.023), cardiopulmonary bypass (CPB) time (OR 1.008, 95%CI: 1.003-1.012; P < 0.001) and aortic clamping time (OR 1.009, 1.002-1.015; P = 0.008) were significantly associated with nosocomial infection in CHD infants. After adjusted for confounding factors, we found STS risk grade (OR 1.38, 95%CI: 1.167-1.633; P < 0.001), BMI < 5th percentile (OR 1.934, 95%CI: 1.377-2.715; P < 0.001), CPB time (OR 1.018, 95%CI: 1.015-1.022; P < 0.001), lymphocyte/WBC ratiocut off value (OR 1.546, 95%CI: 1.119-2.136; P = 0.008) were significantly associated with nosocomial infection in CHD children. Conclusion:Our study suggested STS risk grade, BMI, CPB duration, low lymphocyte/WBC or high neutrophil/WBC ratio were independently associated with nosocomial infection in CHD infant and children after cardiac surgery.

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“…The benefits of shorter operations are not solely monetary. The duration of surgery has been shown to be an independent predictor of complications (Hardy et al, ). There is little doubt of the independent influence of operative time on the incidence of wound infection and it is also probable that prolonged anesthesia increases other postoperative complications (pulmonary complications, arrhythmias, and thromboembolisms) (Scott, ).…”

Section: Discussionmentioning

confidence: 99%

Co‐surgeons in breast reconstructive microsurgery: What do they bring to the table?

et al. 2017

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The Impact of Operative Time on Complications After Plastic Surgery: A Multivariate Regression Analysis of 1753 Cases

Abstract: Surgery duration is an independent predictor of complications, with a significantly increased risk above 3 hours. Although procedural complexity undoubtedly affects morbidity, operative time should factor into surgical decision making.

Cited by 143 publications

References 24 publications

Cosmetic Body Lift

Cosmetic Body Lift

Risk factors of nosocomial infection after cardiac surgery in children with congenital heart disease

Co‐surgeons in breast reconstructive microsurgery: What do they bring to the table?

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