Wound Infections in Body Contouring Mastopexy with Breast Reduction After Laparoscopic Adjustable Gastric Bandings: The Role of Smoking

Gravante, Gianpiero; Araco, Antonino; Sorge, Roberto; Araco, Francesco; Delogu, Daniela; Cervelli, Valerio

doi:10.1007/s11695-007-9252-6

Cited by 9 publications

(2 citation statements)

References 38 publications

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“…Recent data supports the association of smoking cigarettes with an increased risk of postoperative marginal ulceration (183 [EL 3, SS]) and pneumonia (184 [EL 3, SS]). The relative risk conferred by cigarette smoking on the incidence of infections in post‐bariatric surgery patients undergoing body contouring abdominoplasty is 14, with a cutoff of 8.5 pack‐years (185 [EL 3, SS]), and undergoing mastopexy is 3.8, with a cutoff of 6.85 pack‐years (186 [EL 3, SS]). Smoking cessation has been recommended at least 6 weeks before bariatric surgery in the evidence‐based best practice guidelines by Schumann et al (181 [EL 4, CPG]).…”

Section: Evidence Basementioning

confidence: 99%

Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: Cosponsored by american association of clinical endocrinologists, The obesity society, and american society for metabolic & bariatric surgery*

Mechanick

Youdim

Jones

et al. 2013

Obesity

1,077

372

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The development of these updated guidelines was commissioned by the AACE, TOS, and ASMBS Board of Directors and adheres to the AACE 2010 protocol for standardized production of clinical practice guidelines (CPG). Each recommendation was re-evaluated and updated based on the evidence and subjective factors per protocol. Examples of expanded topics in this update include: the roles of sleeve gastrectomy, bariatric surgery in patients with type-2 diabetes, bariatric surgery for patients with mild obesity, copper deficiency, informed consent, and behavioral issues. There are 74 recommendations (of which 56 are revised and 2 are new) in this 2013 update, compared with 164 original recommendations in 2008. There are 403 citations, of which 33 (8.2%) are EL 1, 131 (32.5%) are EL 2, 170 (42.2%) are EL 3, and 69 (17.1%) are EL 4. There is a relatively high proportion (40.4%) of strong (EL 1 and 2) studies, compared with only 16.5% in the 2008 AACE-TOS-ASMBS CPG. These updated guidelines reflect recent additions to the evidence base. Bariatric surgery remains a safe and effective intervention for select patients with obesity. A team approach to perioperative care is mandatory with special attention to nutritional and metabolic issues.

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Section: Evidence Basementioning

confidence: 99%

Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: Cosponsored by american association of clinical endocrinologists, The obesity society, and american society for metabolic & bariatric surgery*

Mechanick

Youdim

Jones

et al. 2013

Obesity

1,077

372

View full text Add to dashboard Cite

show abstract

“…BMI has a well‐known influence on tissue oxygenation and general wound healing (9), and obesity increases the risk of postoperative wound infections even when patients undergo massive weight loss after bariatric surgery (10, 11). The effects of BMI on gynecological complications have been assessed in three studies (12–14): one failed to show a significant influence of obesity on perioperative complications (12), but the others found a significant higher incidence of operating times, intraoperative bladder injuries, vaginal infections, and hemorrhage for obese patients (13, 14).…”

Section: Discussionmentioning

confidence: 99%

The influence of BMI, smoking, and age on vaginal erosions after synthetic mesh repair of pelvic organ prolapses. A multicenter study

Araco

Gravante

Sorge

et al. 2009

Acta Obstet Gynecol Scand

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The Japan Society for Surgical Infection: guidelines for the prevention, detection, and management of gastroenterological surgical site infection, 2018

Ohge

Mayumi

Haji³

et al. 2020

Surg Today

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Background The guidelines for the prevention, detection, and management of gastroenterological surgical site infections (SSIs) were published in Japanese by the Japan Society for Surgical Infection in 2018. This is a summary of these guidelines for medical professionals worldwide. Methods We conducted a systematic review and comprehensive evaluation of the evidence for diagnosis and treatment of gastroenterological SSIs, based on the concepts of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. The strength of recommendations was graded and voted using the Delphi method and the nominal group technique. Modifications were made to the guidelines in response to feedback from the general public and relevant medical societies. Results There were 44 questions prepared in seven subject areas, for which 51 recommendations were made. The seven subject areas were: definition and etiology, diagnosis, preoperative management, prophylactic antibiotics, intraoperative management, perioperative management, and wound management. According to the GRADE system, we evaluated the body of evidence for each clinical question. Based on the results of the meta-analysis, recommendations were graded using the Delphi method to generate useful information. The final version of the recommendations was published in 2018, in Japanese. Conclusions The Japanese Guidelines for the prevention, detection, and management of gastroenterological SSI were published in 2018 to provide useful information for clinicians and improve the clinical outcome of patients.

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Wound Infections in Body Contouring Mastopexy with Breast Reduction After Laparoscopic Adjustable Gastric Bandings: The Role of Smoking

Abstract: The incidence of infections in our series of postbariatric patients undergoing mastopexy and breast reduction is 35.7%. A cut-off of 6.85 pack years (50,000 estimated overall cigarettes) was determined and, according to this value, the relative risk conferred by smoking was 3.8.

Cited by 9 publications

References 38 publications

Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: Cosponsored by american association of clinical endocrinologists, The obesity society, and american society for metabolic & bariatric surgery*

Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: Cosponsored by american association of clinical endocrinologists, The obesity society, and american society for metabolic & bariatric surgery*

The influence of BMI, smoking, and age on vaginal erosions after synthetic mesh repair of pelvic organ prolapses. A multicenter study

The Japan Society for Surgical Infection: guidelines for the prevention, detection, and management of gastroenterological surgical site infection, 2018

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