Combining abdominal and cosmetic breast surgery does not increase short-term complication rates: A comparison of each individual procedure and pretreatment risk stratification tool

Nima Khavanin, Sumanas W. Jordan, Brittany L. Vieira, Keith M. Hume, Alexei S. Mlodinow, Christopher J. Simmons, Robert X. Murphy, Karol A. Gutowski, John Y.S. Kim*

*Corresponding author for this work

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Background: Combined abdominal and breast surgery presents a convenient and relatively cost-effective approach for accomplishing both procedures. Objectives: This study is the largest to date assessing the safety of combined procedures, and it aims to develop a simple pretreatment risk stratification method for patients who desire a combined procedure. Methods: All women undergoing abdominoplasty, panniculectomy, augmentation mammaplasty, and/or mastopexy in the TOPS database were identified. Demographics and outcomes for combined procedures were compared to individual procedures using χ2 and Student's t-tests. Multiple logistic regression provided adjusted odds ratios for the effect of a combined procedure on 30-day complications. Among combined procedures, a logistic regression model determined point values for pretreatment risk factors including diabetes (1 point), age over 53(1), obesity (2), and 3+ ASA status (3), creating a 7-point pretreatment risk stratification tool. Results: A total of 58,756 cases met inclusion criteria. Complication rates among combined procedures (9.40%) were greater than those of aesthetic breast surgery (2.66%; P <.001) but did not significantly differ from abdominal procedures (9.75%; P =.530). Nearly 77% of combined cases were classified as low-risk (0 points total) with a 9.78% complication rates. Medium-risk patients (1 to 3 points) had a 16.63% complication rate, and high-risk (4 to 7 points) 38.46%. Conclusions: Combining abdominal and breast procedures is safe in the majority of patients and does not increase 30-day complications rates. The risk stratification tool can continue to ensure favorable outcomes for patients who may desire a combined surgery.

Original languageEnglish (US)
Pages (from-to)999-1006
Number of pages8
JournalAesthetic surgery journal
Volume35
Issue number8
DOIs
StatePublished - 2015

ASJC Scopus subject areas

  • Surgery

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