Obesity

Postoperative complications in obese and nonobese patients medical center – Postoperative complications in obese and nonobese patients

This review evaluates the effects of obesity on complications in breast reconstruction using muscle-conserving abdominal flaps and compares them to those for conventional free transverse rectus abdominis myocutaneous TRAM flaps. Patellofemoral arthroplasty PFA has garnered attention in recent years as an effective alternative to total knee arthroplasty for patients with symptomatic, isolated patellofemoral joint arthritis.

Chest Concin et al. Grugni, D. Read the winning articles. Practice guidelines for the perioperative management of patients with obstructive sleep apnea: an updated report by the American Society of Anesthesiologists Task Force on Perioperative Management of patients with obstructive sleep apnea.

  • Although the operation time was prolonged in obese patients, operative factors and outcomes were not. Obesity Silver Spring ; 21 : S1 —

  • In comparison to free TRAM flaps, muscle-conserving abdominal flaps showed a lower pooled incidence of flap loss, fat necrosis, and abdominal bulge or hernia in obese patients.

  • Ann Surg Oncol. Duthie, and D.

  • A total of patients were suitable for analysis, of which World Health Organization.

MeSH terms

In comparison to free TRAM flaps, muscle-conserving abdominal flaps showed a lower pooled incidence of flap loss, fat necrosis, and abdominal bulge or hernia in obese patients. Obese patients with isolated PFA can expect the same improvement in function as nonobese patients following patellofemoral joint arthroplasty. There are limited data on the effects of obesity on perioperative complications. Abstract Patellofemoral arthroplasty PFA has garnered attention in recent years as an effective alternative to total knee arthroplasty for patients with symptomatic, isolated patellofemoral joint arthritis.

Nonetheless, this nonobse population is not well-studied. The mean BMI was The results of a pooled analysis with 15 studies are consistent with those of the meta-analysis. Body mass index was calculated for all patients; of the patients seen in the clinic, underwent elective surgery. Conclusion: Class III and underweight patients had higher rates of postoperative complications, which should be taken into consideration during perioperative counseling.

This study illustrates the increased prevalence of obesity among the Veterans Affairs Medical Center general surgery patient population. Data were queried for demographics, comorbidities, surgery characteristics, and outcome variables. Outcome variables were day readmission, major medical complication, infection, and revision rates. Setting: All tracheostomies were performed at a single tertiary care center. Obese patients with isolated PFA can expect the same improvement in function as nonobese patients following patellofemoral joint arthroplasty. Abstract Objective: To determine the prevalence of varying classes of obesity in patients undergoing tracheostomy and the associated complication rates as compared with nonobese patients.

Elevated postoperative blood glucose and preoperative hemoglobin A1C are associated with increased wound complications following total joint arthroplasty. The database covered a period of 4 years and consisted of 7, cases of postoperative complications that occurred within 30 days of noncardiac moderate or major surgery. Salarifar, M. The degree of obesity in a patient affected and prolonged the operation time but did not affect the patient's outcome in this study. Obese patients have a significantly higher risk of complications following surgery, including heart attack, wound infection, nerve injury and urinary tract infection, according to a new study from researchers at the University of Michigan Health System. Validation of the obesity surgery mortality risk score in a multicenter study proves it stratifies mortality risk in patients undergoing gastric bypass for morbid obesity. Foxcroft, K.

International Journal of Chronic Diseases

Obese patients with isolated PFA can expect the same improvement in function as nonobese patients following postooerative joint arthroplasty. All rights reserved. Keywords: body mass index; complications; obese; tracheostomy; underweight. Logistic multivariate regression was utilized, serially testing interactions between obesity and other independent variables in separate models for each outcome. Postoperative complications developed among 5.

Conclusion: Class III and underweight patients had higher rates of postoperative complications, which should be taken into consideration wnd perioperative counseling. Obesity increased the risk of total flap loss [RR, 1. Many studies have shown that there is a higher prevalence of obesity among the Veterans Affairs patient population. This study illustrates the increased prevalence of obesity among the Veterans Affairs Medical Center general surgery patient population.

Multivariate logistic regression was used to assess the association of obesity and other variables with these complications. Abstract Objective: To determine the prevalence of varying classes nonobfse obesity in patients undergoing postoperative complications in obese and nonobese patients medical center and the associated complication rates as compared with nonobese patients. Abstract Patients who are obese are believed to be at greater risk of developing intraoperative and postoperative complications than their nonobese counterparts. These cohorts were then queried for postoperative complications within 90 days after the surgical procedure using diagnostic and procedural codes. There are limited data on the effects of obesity on perioperative complications. Keywords: body mass index; complications; obese; tracheostomy; underweight.

Publication types

Heliovaara, P. These preoperative complications were more frequent in obesity, and there was also a significant difference in our results Table 4. All LCs were performed using the conventional 4-port technique in the supine position under general anesthesia.

Objective: To determine the prevalence of varying classes of obesity in patients undergoing tracheostomy and the associated complication rates as compared with nonobese patients. Demographic, surgical information, and PROMs were collected and analyzed accordingly. This review evaluates the effects of obesity on complications in breast reconstruction using muscle-conserving abdominal flaps and compares them to those for conventional free transverse rectus abdominis myocutaneous TRAM flaps. All rights reserved. We performed a retrospective review of patients presenting to a single Veterans Affairs Medical Center.

READ TOO: 15 Paragraph Proposal Essay On Obesity

Pharmacotherapy ; 30 nonobeee J Am Coll Cardiol ; 42 : — 9. The indication for LC was benign gallbladder disease in all patients. Anesthesiology ; : — For an objective interpretation of complications, we used a modified classification system proposed earlier by Clavien and Dindo, in order to increase uniformity in reporting outcome measures [ 1516 ].

The most common indication for tracheostomy was malignancy in nonobese patients Abstract Patients who are kedical are believed to be at greater risk of developing intraoperative and postoperative complications than their nonobese counterparts. This paper underscores the priority of patient selection in PFA and challenges the notion that surgeons should exclude patients from receiving a PFA on the basis of obesity. This study illustrates the increased prevalence of obesity among the Veterans Affairs Medical Center general surgery patient population. These cohorts were then queried for postoperative complications within 90 days after the surgical procedure using diagnostic and procedural codes.

Background

ALIF is a safe and effective procedure. Obese patients with isolated PFA can expect the same improvement in function as nonobese patients following patellofemoral joint arthroplasty. There are limited data on the effects of obesity on perioperative complications. In addition, our study suggests that obesity is not an independent risk factor for postoperative complications in patients undergoing elective general surgery. Keywords: body mass index; complications; obese; tracheostomy; underweight.

Then, one 5-mm trocar was inserted beneath the xiphoid, and two 5-mm trocars were inserted below the right costal arch. Que, J. Conclusion In conclusion, our findings suggest that a tendency to consider obesity as a major risk factor in general surgery is not justified. Moreover a paradox between body mass index and survival is described. In order to study the association between different BMI categories and postoperative complications, univariable and multivariable logistic regression models were used. Metab Syndr Relat Disord ; 12 : 86 — Published by Oxford University Press.

Causes of obesity. Our study showed that the higher the BMI, the higher the proportion of women and young people. Surg Clin North Am ; 81 : — Chauhan, Y. Brain Res ; : —

  • A total of patients were suitable for analysis, of which

  • Study design: Retrospective case-control study. Published by Elsevier Inc.

  • Ashraf, M.

  • S25—S33,

  • Obesity has previously been identified as a risk factor for patiemts surgery, but its effect on patient-reported outcome measures PROMs has not been evaluated. Abstract Background: Distal humerus fractures commonly require surgical intervention, including open reduction and internal fixation ORIF and, more recently in elderly, low-demand individuals, total elbow arthroplasty TEA.

Abstract Background: Postoperative complications are undesirable and potentially common in the increasing obese population of surgical patients. Even though, the local medical ethical committee granted a formal statement of approval retrospectively. The online version of this article doi RJS supervised interpretation and edited the manuscript.

Waist circumference WC is used to identify the relative risk of developing obesity-associated complifations in subjects with a BMI between 25 and 35 15 because it correlates with the presence of visceral adipose tissue that is the key abnormality that results in cardiovascular disease. J Thromb Thrombolysis ; 41 : — Validation of the obesity surgery mortality risk score in a multicenter study proves it stratifies mortality risk in patients undergoing gastric bypass for morbid obesity. This figure illustrates the bidirectional role of obesity and OSA. The occurrence of sleep-disordered breathing among middle-aged adults.

Introduction

Heinberg, A. Curr Opin Crit Care ; 17 : — Anesth Analg ; 95 : — Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index.

Postoperative complications in gastrointestinal cancer patients: the joint role of the nutritional status and the nutritional support. Fonarow, C. Jang, E. Porhomayon, and A. LC is the standard operation for benign gallbladder lesions. Storskrubb, J.

Introduction Obesity is a medical disease that is increasing significantly nowadays. The Framingham study. Comments By submitting a comment you agree to abide by our Terms and Community Guidelines. However, there were no significant differences in the length of hospital stay, conversion rate, or postoperative complication rate, except operative time. Diabetes Care ; 34 : — 9.

Chen et al. Bioelectrical impedance may also be used for centwr total body fat. To analyze the outcome we obtained the following data: length of hospital stay LOSblood loss, operating time and the presence of postoperative complications, e. Academic Editor: Theodoros N. The exact mechanisms for preoperative elevation of WBC are unexplained, but it has been reported that the incidence of histological liver damage is very high in obese patients 18 Arch Intern Med ; : — Wong, H.

MeSH terms

Juonala, C. Table 1 shows the baseline and surgery related characteristics of the study population. Unfortunately, they carry a high risk for morbidity and mortality because of difficult assessment and treatment [ ]. Nocturnal intermittent hypoxia is independently associated with pain in subjects suffering from sleep-disordered breathing.

Google Scholar. Positive end-expiratory pressure improves respiratory function in obese but not in normal subjects during anesthesia and paralysis. J Dent Res ; 89 : — Cardiorespiratory fitness and incidence of major adverse cardiovascular events in US veterans: a cohort study. This study aimed to clarify this relationship. Restrictive operations include the adjustable gastric band and the sleeve gastrectomy. In some surgeries, for example, appendectomy laparoscopic technique did not have superiority over the open one for obese patients [ ].

  • Borunda, G. Obesity prevalence from a European perspective: a systematic review.

  • Nonetheless, this patient population is not well-studied. The pooled relative risks RRs of the obesity for flap-related and donor complications were estimated in the muscle-conserving flaps by meta-analytic methodology and the pooled complication rates in obese patients were compared between muscle-conserving flaps and conventional TRAM flaps.

  • Obesity increases the risk of postoperative wound infection. Weight gain can be explained as an energy imbalance between calories consumed and calories expended.

  • Outcome variables were day readmission, major medical complication, infection, and revision rates. Abstract Background: Distal humerus fractures commonly require surgical intervention, including open reduction and internal fixation ORIF and, more recently in elderly, low-demand individuals, total elbow arthroplasty TEA.

  • Conclusions: Obesity is associated with significantly higher rates of complications after ORIF and TEA for distal humerus fractures than in nonobese patients.

Obese patients with cnter PFA can expect the same improvement in function as nonobese patients following patellofemoral joint arthroplasty. The results of a pooled analysis with 15 studies are consistent with postoperative complications in obese and nonobese patients medical center of the meta-analysis. ALIF is a safe and effective procedure. Summary of background data: Obesity is risk factor for complications after LSF and poses unique challenges regarding optimization of care. Complications were divided into those occurring intraoperatively and those occurring postoperatively. An estimation table was used to identify a body mass index BMI threshold associated with increased risk of postoperative complication. Additionally, no difference in the rate of PFA revision was observed and there were no postoperative complications reported.

Complications were divided into those occurring intraoperatively and those occurring postoperatively. Results: A total of patients were identified, and the mean age was 57 years; were females Obese patients with isolated PFA can expect the same improvement in function as nonobese patients following patellofemoral joint arthroplasty. Conclusions: Obesity is associated with significantly higher rates of complications after ORIF and TEA for distal humerus fractures than in nonobese patients.

Patellofemoral arthroplasty PFA has garnered attention in recent years as an effective alternative to total knee arthroplasty for patients with symptomatic, isolated patellofemoral joint arthritis. Setting: All tracheostomies were performed at a single tertiary care center. We performed a retrospective review of patients presenting to a single Veterans Affairs Medical Center.

Obese patients with isolated PFA can expect the same improvement in function as nonobese patients following patellofemoral joint arthroplasty. Study design: A retrospective chart review was performed from to on all patients who underwent open tracheostomy by the Department of Otolaryngology-Head and Neck Surgery. Operative time was significantly longer in obese patients, and most of these patients required an extended-length tracheostomy tube. Conclusion: Many medical comorbidities have less impact in obese patients than nonobese patients in predicting adverse outcomes despite increased rates of adverse outcomes in obese patients.

Although being obese is associated with medical hazards, recent literature shows no convincing data to support this assumption. When compared to patients of normal weight, patienrs underweight patients had a higher ASA classification and a higher risk of postoperative complications. Being obese is associated with increased risk of a number of medical conditions, including diabetes, coronary artery disease, hypertension, hyperlipidemia and certain types of cancer [ 3 ]. Sleep Med Rev ; doi Advances in clinical medicine can alter current practice. Anesthesiology ; 78 : —

For infection, obese patients had lower OR for diabetes with and without complicatilns complications, and higher OR for female sex. Results: A total ofpatients were included: 31, obese andnonobese. Conclusion: Many medical comorbidities have less impact in obese patients than nonobese patients in predicting adverse outcomes despite increased rates of adverse outcomes in obese patients.

  • In addition, incisional hernia although it is a postoperative complication is highly prevalent among obese patients [ ].

  • In comparison to conventional TRAM flaps, however, muscle-conserving abdominal flaps may have an advantage in reducing the morbidity in obese patients.

  • Full size table.

  • All rights reserved.

Nonetheless, this patient population is not well-studied. Objective: Anterior approaches to the lumbar spine provide wide exposure that facilitates placement of large grafts with high fusion rates. All rights reserved. This study illustrates the increased prevalence of obesity among the Veterans Affairs Medical Center general surgery patient population. Level of Evidence: 3. Patients were identified as obese or nonobese using ICD-9 codes.

Among patients undergoing transabdominal retroperitoneal ALIF, complication rates were higher for obese patients than for nonobese patients Study design: Retrospective case-control study. Nonetheless, this patient population is not well-studied. Seventy-six patients 41 nonobese, 35 obese were identified.

The most common indication for tracheostomy was malignancy in nonobese patients All rights reserved. Level of Evidence: 3. Demographic, surgical information, and PROMs were collected and analyzed accordingly.

PubMed Google Scholar. Amini, and F. View at: Google Scholar B. Kalantar-Zadeh, G.

  • Lancet ; : — Murphy, M.

  • In comparison to conventional TRAM flaps, however, muscle-conserving abdominal flaps may have an advantage in reducing the morbidity in obese patients.

  • It should be noted however that the underweight patients represent a rather small number of the total study population and results, especially short-term complications, should be interpreted with caution. Therefore, this study was designed to determine influence of body mass index on postoperative complications and long-term survival after surgery.

  • In a multivariate model, age, obesity, and number of ALIF levels fused were associated with an increased risk of postoperative complication.

Background: Although several studies have found obesity to increase the risk of postoperative morbidity in autologous breast reconstruction, there remains some controversy over the influence of obesity for muscle-conserving abdominal flaps, including muscle-sparing transverse rectus abdominis myocutaneous msTRAMdeep inferior epigastric perforator DIEPand superficial inferior epigastric artery SIEA flaps. For infection, obese patients had lower OR for diabetes with and without chronic complications, and higher OR for female sex. Patellofemoral arthroplasty PFA has garnered attention in recent years as an effective alternative to total knee arthroplasty for patients with symptomatic, isolated patellofemoral joint arthritis. Keywords: body mass index; complications; obese; tracheostomy; underweight. The mean BMI was This paper underscores the priority of patient selection in PFA and challenges the notion that surgeons should exclude patients from receiving a PFA on the basis of obesity.

The most common centwr for tracheostomy was malignancy in nonobese patients Conclusion: Many medical comorbidities have less impact in obese patients than nonobese patients in predicting adverse outcomes despite increased rates of adverse outcomes in obese patients. Abstract Patients who are obese are believed to be at greater risk of developing intraoperative and postoperative complications than their nonobese counterparts. Postoperative complications developed among 5.

Table 4 Preoperative complication. Resolving postoperative neuroinflammation and cognitive decline. The unrelenting challenge of obesity.

The mean BMI was The association of obesity with complications after either of these procedures has not previously been examined. All rights reserved. Results: A total of 17 articles were analyzed.

Abstract Objective: Anterior approaches to the lumbar spine provide wide exposure that facilitates placement of large grafts with high fusion rates. All rights reserved. The rates of postoperative infection, venous thromboembolism, and medical complications were significantly higher in the obese ORIF cohort than in nonobese patients. Results: A total of 17 articles were analyzed.

If you find something abusive or that does not comply with our terms nonobexe guidelines please flag it as inappropriate. Patient characteristics included age, sex, height, body weight, and BMI. We also found that complication and mortality rates are significantly worse for underweight patients. Lancet ; : — 5. Five-year cumulative incidence of overweight and obesity, and longitudinal change in body mass index in Japanese workers: The Japan Epidemiology Collaboration on Occupational Health Study.

The effects of total sleep deprivation, selective sleep interruption and sleep recovery on pain tolerance thresholds in healthy subjects. Clark, and L. Obstructive sleep apnea [ 40 ] and pericardial fat [ 4142 ] that are commonly associated with obesity are considered significant underlying mechanisms for heart failure and atrial fibrillation. Noninvasive ventilation and alveolar recruitment maneuver improve respiratory function during and after intubation of morbidly obese patients: a randomized controlled study. Cholesterol and serum albumin as risk factors for death in patients undergoing general surgery.

JAMA ; : — 8. A focused interview in the setting of suspected OSA may include questions on snoring, apneic episodes, frequent arousals during sleep, morning headaches and daytime somnolence. View at: Google Scholar B. Using Caucasians as the standard, African-Americans have a 1. Bamgbade, T. Anton A. Jan, D.

Multivariate regression analysis demonstrated that underweight patients had worse outcome HR 2. Obesity in general elective surgery. Use of the health and activities limitation index as a measure of quality of life in obesity. However, it is unlikely that preoperative complications influenced the operative time and postoperative results.

Abstract Objective: Anterior postpoerative to the lumbar spine provide wide exposure that facilitates placement of large grafts with high fusion rates. Setting: All tracheostomies were performed at a single tertiary care center. Patients who are obese are believed to be at greater risk of developing intraoperative and postoperative complications than their nonobese counterparts. The primary outcome was any perioperative complication. The association of obesity with complications after either of these procedures has not previously been examined.

Each of the authors is a California-licensed physician patiens an American Board of Anesthesia-certified Anesthesiologist. The predictive validity of body mass index based on self-reported weight and height. Age and obesity are independent predictors of bile duct injuries in patients undergoing laparoscopic cholecystectomy. A randomized, double-blind clinical trial comparing continuous positive airway pressure with a novel bilevel pressure system for treatment of obstructive sleep apnea syndrome.

Guller, S. This review considers how to prepare for and manage the obese surgical patient through the entire spectrum, from preoperative assessment to possible postoperative intensive care. In addition, obesity has a great impact on surgical diseases, and elective surgeries in comparison to general population. Overweight and obesity in the United States: prevalence and trends, — Wound tissue oxygen tension predicts the risk of wound infection in surgical patients. For comparisons between the groups, a Chi-square test was used for categorical variables, and a Student's t test was used for quantitative variables.

  • Use of the health and activities limitation index as a measure of quality of life in obesity. Trends in obesity prevalence among children and adolescents in the United States, yhrough —

  • Published by Elsevier Inc. Patients who are obese are believed to be at greater risk of developing intraoperative and postoperative complications than their nonobese counterparts.

  • Thrifty genes for obesity and the metabolic syndrome—time to call off the search? Liver pathology and preoperative indicators of advanced liver disease in morbidly obese patients.

For infection, obese patients had lower OR for diabetes with and without chronic complications, and higher OR for female sex. Conclusions: Obesity is associated with significantly jn rates of complications after ORIF and TEA for distal humerus fractures than in nonobese patients. The rates of postoperative infection, venous thromboembolism, and medical complications were higher in the obese TEA cohort than in nonobese patients. In comparison to conventional TRAM flaps, however, muscle-conserving abdominal flaps may have an advantage in reducing the morbidity in obese patients. A retrospective review of a consecutive series of PFA surgeries was conducted at a single, specialized orthopedics center in a major urban center.

In a multivariate model, age, obesity, and number of ALIF levels fused were associated with an increased risk of postoperative complication. Results: A total of patients were identified, and postoperative complications in obese and nonobese patients medical center mean age was 57 years; were females This review evaluates the effects of obesity on complications in breast reconstruction using muscle-conserving abdominal flaps and compares them to those for conventional free transverse rectus abdominis myocutaneous TRAM flaps. Obesity has previously been identified as a risk factor for revision surgery, but its effect on patient-reported outcome measures PROMs has not been evaluated. Keywords: body mass index; complications; obese; tracheostomy; underweight.

Impact of body mass index on perioperative outcomes in patients undergoing major intra-abdominal cancer surgery. Chen et al. Postoperative complications are not increased in super-super obese patients who undergo laparoscopic Roux-en-Y gastric bypass. Borunda, G.

  • Table 8 Multivariate analysis of factors associated with postoperative complications.

  • The association of obesity with complications after either of these procedures has not previously been examined.

  • Bose, I. Furthermore, there were no unfortunate cases of postoperative death Table 9.

Obesity has previously been identified as a risk factor for revision surgery, but its effect on patient-reported outcome measures PROMs has not been evaluated. Complications were divided into those occurring intraoperatively and those occurring postoperatively. Body mass index was calculated for all patients; of the patients seen in the clinic, underwent elective surgery. Results: A total of 17 articles were analyzed. These cohorts were then queried for postoperative complications within 90 days after the surgical procedure using diagnostic and procedural codes.

READ TOO: Obesity Rates European Countries

Conclusions: Obesity is associated with significantly higher rates of complications after ORIF and TEA for jonobese humerus fractures than in nonobese patients. The association of obesity with complications after either of these procedures has not previously been examined. For infection, obese patients had lower OR for diabetes with and without chronic complications, and higher OR for female sex. Obesity increased the risk of total flap loss [RR, 1. Abstract Objective: Anterior approaches to the lumbar spine provide wide exposure that facilitates placement of large grafts with high fusion rates.

Body mass index was calculated for all patients; of the patients seen in the clinic, underwent elective surgery. Payients primary outcome was any perioperative complication. For infection, obese patients had lower OR for diabetes with and without chronic complications, and higher OR for female sex. Charts were reviewed for patient demographic information, Charlson Comorbidity Index score, surgical indication, operative time, tracheostomy tube type, and postoperative complications. Many studies have shown that there is a higher prevalence of obesity among the Veterans Affairs patient population. Abstract Objective: Anterior approaches to the lumbar spine provide wide exposure that facilitates placement of large grafts with high fusion rates.

Abstract Background: Distal humerus fractures commonly require surgical intervention, including open reduction and internal cmoplications ORIF and, more recently in elderly, low-demand individuals, total elbow arthroplasty TEA. For infection, obese patients had lower OR for diabetes with and without chronic complications, and higher OR for female sex. Operative time was significantly longer in obese patients, and most of these patients required an extended-length tracheostomy tube.

Kadakia, Complicstions. These changes in lung volumes increase the likelihood of morbidly obese surgical patients developing pulmonary complications. Thus, with exception of the complications described earlier, there was no difference in risk of any major postoperative adverse event between the obese and patients of normal weight. Mazzone et al. Published : 27 January

Study design: A retrospective chart review was performed from to on all patients who underwent open tracheostomy by the Department of Snd and Neck Surgery. Data were queried for demographics, comorbidities, surgery characteristics, and outcome variables. Results: A total of patients who underwent operative management of a distal humerus fracture were identified, including ORIF and TEA procedures. Operative time was significantly longer in obese patients, and most of these patients required an extended-length tracheostomy tube. Results: A total of 17 articles were analyzed.

This review evaluates the effects of obesity on complications in breast reconstruction using muscle-conserving abdominal flaps and compares them to those for conventional free transverse rectus patients medical center myocutaneous TRAM flaps. Forty patients 4. The mean BMI was Background: Although several studies have found obesity to increase the risk of postoperative morbidity in autologous breast reconstruction, there remains some controversy over the influence of obesity for muscle-conserving abdominal flaps, including muscle-sparing transverse rectus abdominis myocutaneous msTRAMdeep inferior epigastric perforator DIEPand superficial inferior epigastric artery SIEA flaps. Results: A total of patients who underwent operative management of a distal humerus fracture were identified, including ORIF and TEA procedures. Study design: A retrospective chart review was performed from to on all patients who underwent open tracheostomy by the Department of Otolaryngology-Head and Neck Surgery. Body mass index was calculated for all patients; of the patients seen in the clinic, underwent elective surgery.

Outcome variables were day readmission, major medical complication, infection, and revision rates. The rates of postoperative medical center, venous thromboembolism, and medical complications were significantly higher in the obese ORIF cohort than in nonobese patients. Methods: Data from consecutive patients undergoing anterior lumbar interbody fusion ALIF from to at a single academic center were analyzed. The rates of postoperative infection, venous thromboembolism, and medical complications were higher in the obese TEA cohort than in nonobese patients. Abstract Patellofemoral arthroplasty PFA has garnered attention in recent years as an effective alternative to total knee arthroplasty for patients with symptomatic, isolated patellofemoral joint arthritis.

  • Spiegelman, W. Enami, Y.

  • Keywords: Obesity; complications; distal humerus fractures; open reduction and internal fixation; total elbow arthroplasty. Results: A total of 17 articles were analyzed.

  • Am J Epidemiol ; : —

Abstract Study design: Retrospective case-control study. Results: A total ofpatients were included: 31, obese andnonobese. Among patients undergoing transabdominal retroperitoneal ALIF, complication rates were higher for obese patients than for nonobese patients Complications were divided into those occurring intraoperatively and those occurring postoperatively.

The primary outcome was any perioperative complication. Published by Elsevier Inc. Background: Although several studies have found obesity to increase the risk of postoperative morbidity in autologous breast reconstruction, there remains some controversy over the influence of obesity for muscle-conserving abdominal flaps, including muscle-sparing transverse rectus abdominis myocutaneous msTRAMdeep inferior epigastric perforator DIEPand superficial inferior epigastric artery SIEA flaps. This paper underscores the priority of patient selection in PFA and challenges the notion that surgeons should exclude patients from receiving a PFA on the basis of obesity.

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