P We F.6- Can satisfactory outcomes be achieved for Abdominal WallReconstruction (AWR) surgery in patients with a Body Mass Index (BMI)above 32kg/m2?
Published Date: 01st September 2019
Publication Authors: Wright C, Singh S, Samad A, West C, Ross S, Scott M
Introduction
A high BMI has long been thought to be a negative predictive factor for post-operative outcomes. For AWR surgery, a BMI of 32 is often used as a cut-off. Due to the increasing prevalence of obesity, this is not always possible.
Aim
This study compared the outcomes of patients undergoing AWR with BMIs above and below the accepted threshold of 32kg/m2.
Method(s)
Data was collected for 84 patients who underwent AWR between October 2017-2018. Demographics, length of hospital stay, HDU attendance, complication and recurrence rate, mortality and incision type were analysed.
Result(s)
Of the 84 patients, accurate BMI recordings were found for 75 patients. 33 patients had a higher BMI of >=32kg/m2 and 42 <32kg/m2. The age range was 25 to 83 years. Abdominoplasty offers favourable cosmetic outcomes, this approach was taken in 28.5% of the higher BMI group, compared to 58.8% of those with a normal BMI. In high BMI group, average hospital stay was 6.21 days, 22.1% requiring admission to HDU, compared to 3.68 days and 0% in the normal BMI group. Post-operative complication rates were 30% and 21% respectively. There were 3 recurrences, one in the high BMI and 2 in the normal BMI population. There was one death caused by multiple organ failure in the high BMI group.
Conclusion(s)
Although longer hospital stays may be required and there is a higher risk of admission to HDU, these findings suggest that satisfactory outcomes can still be achieved in patients with BMIs significantly higher than 32kg/m2.
Wright, C; Singh, S; Samad, A; West, C; Ross, S; Scott, MH (2019). P We F.6- Can satisfactory outcomes be achieved for Abdominal WallReconstruction (AWR) surgery in patients with a Body Mass Index (BMI)above 32kg/m2?. British Journal of Surgery. 106 (S5), 114.