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The preoperative risk factors for hematoma development following postbariatric abdominoplasty: a retrospective analysis of 178 patients

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Abstract

Background

The residual obesity and major comorbidities of postbariatric patients make abdominoplasty a challenging procedure. Patients with a history of bariatric surgery are more likely to develop postoperative complications following abdominoplasty. The purpose of this study was to examine the factors influencing the development of hematoma following abdominoplasty in postbariatric patients and to evaluate potential risk factors.

Methods

In this retrospective study, 178 patients who underwent abdominoplasty at our university tertiary center institute between 2015 and 2019 were reviewed. Statistical analysis was conducted to determine whether there were differences between our cohorts in terms of comorbidities and postoperative hematoma.

Results

There were 178 patients with abdominoplasty who were included in the study. Among the 153 participants, 86% were female. In our study, the incidence of hematomas postabdominoplasty was 2.8% (n = 5). The hematoma incidence was significantly correlated with sex (p =  < .001), with males having a higher incidence of hematomas. Hematomas were also significantly associated with smoking. Patients who underwent bariatric surgery were significantly associated with the incidence of hematoma (p = .005), where all patients with hematomas had undergone bariatric surgery.

Conclusions

It can be concluded that patients undergoing bariatric surgery are more likely to develop hematomas. Postabdominoplasty hematomas were more likely to develop in smokers, men, and those with a lower BMI. These risk factors should be considered and optimized by surgeons when counseling patients preoperatively.

Level of evidence: Level V, risk/prognostic study.

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Data Availability

Data is available upon request from the corresponding author.

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Funding

This work was supported by the College of Medicine Research Center, Deanship of Scientific Research, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.

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Authors and Affiliations

  1. Division of Plastic Surgery, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia

    Adnan G. Gelidan, Khalid Arab & Abdullah E. Kattan

  2. College of Medicine, King Saud University, Riyadh, Saudi Arabia

    Helmi M. H. Alsweirki

  3. Division of Plastic Surgery, Department of Surgery, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia

    Hatan Mortada

  4. Department of Plastic Surgery & Burn Unit, King Saud Medical City, Riyadh, Saudi Arabia

    Hatan Mortada

  5. Department of Surgery, King Abdullah bin Abdulaziz University Hospital (KAAUH)-Princes Nora University, Riyadh, Saudi Arabia

    Fahad Saeed A. Alkahtani

  6. Division of Plastic and Reconstructive Surgery, Department of Surgery, King Khaled University Hospital, Riyadh, Saudi Arabia

    Faisal A. Alfaqeeh

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  1. Adnan G. Gelidan
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  2. Helmi M. H. Alsweirki
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  3. Hatan Mortada
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  5. Khalid Arab
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  6. Abdullah E. Kattan
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  7. Faisal A. Alfaqeeh
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Corresponding author

Correspondence to Hatan Mortada.

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Ethical approval

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Institutional Review Board and Research Ethics Committee (No. E-22–7399).

Conflict of interest

Adnan G. Gelidan, Helmi M. H. Alsweirki, Hatan Mortada, Fahad Saeed A. Alkahtani, Khalid Arab, Abdullah E. Kattan, and Faisal A. Alfaqeeh declare no conflict of interest.

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Gelidan, A.G., Alsweirki, H.M.H., Mortada, H. et al. The preoperative risk factors for hematoma development following postbariatric abdominoplasty: a retrospective analysis of 178 patients. Eur J Plast Surg 46, 583–588 (2023). https://doi.org/10.1007/s00238-023-02046-4

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  • DOI: https://doi.org/10.1007/s00238-023-02046-4

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