Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Smolle, C; Tuca, A; Wurzer, P; Spendel, SM; Forbes, AA; Spendel, S; Schintler, M; Haxhija, E; Schwenzer-Zimmerer, K; Friedl, H; Kamolz, LP; Parvizi, D.
Complications in tissue expansion: A logistic regression analysis for risk factors.
Burns. 2017; 43(6):1195-1202
Doi: 10.1016/j.burns.2016.08.030
Web of Science
PubMed
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Smolle Christian
- Co-Autor*innen der Med Uni Graz
- Haxhija Emir
- Kamolz Lars-Peter
- Parvizi Daryousch
- Schintler Michael
- Schwenzer-Zimmerer Katja Christine
- Spendel Stephan
- Tuca Alexandru
- Wurzer Paul
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- Abstract:
- Tissue expansion is frequently used in reconstructive surgery. Although the surgical procedure is typically considered simple, reported complication rates of tissue expansions exceed 40%. There is little evidence concerning risk factors for complications in tissue expansion in body regions other than breast. The aim was to determine risk factors for complications in non-breast tissue expansion. 34 patients treated with subcutaneous tissue expanders between 2005 and 2014 were analyzed. Demographic data, body-mass index (BMI), mean arterial blood pressure (MAP), treatment indications, expansion site, previous expansion therapies in the same body region, smoking history, as well as expander characteristics (shape, volume, and filling mechanism) were ascertained. Complications were assessed and ranked according to severity based on the Clavien-Dindo classification. Binary logistic regression analysis adjusted for clinical characteristics was used. A p<0.05 was considered as statistically significant. Complications were observed in 26 out of 71 expanders analyzed (36.6%), of whom 10 led to therapy failure. Expanders used in the limbs, female gender, and high expander volume turned out as significant risk factors. Patients with both a high MAP and low BMI developed tissue necrosis significantly more often (p=0.002). The use of tissue expansion after a burn was not associated with an increased risk for complications. This is the first study revealing female gender and low BMI as risk factors in tissue expander surgery. Thus, careful patient selection is mandatory to avoid complications in tissue expansion. Burn patients do not develop complications more often. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Adult -
- Arterial Pressure -
- Body Mass Index -
- Burns - complications
- Child -
- Child, Preschool -
- Cicatrix - etiology
- Cicatrix - surgery
- Female -
- Humans -
- Infant -
- Infant, Newborn -
- Logistic Models -
- Male -
- Middle Aged -
- Necrosis - epidemiology
- Obesity - epidemiology
- Postoperative Complications - epidemiology
- Protective Factors -
- Reconstructive Surgical Procedures -
- Retrospective Studies -
- Risk Factors -
- Sex Factors -
- Tissue Expansion -
- Tissue Expansion Devices -
- Young Adult -
- Find related publications in this database (Keywords)
- Tissue expander
- Risk factor
- Complication
- Body mass index