Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Tiefenbacher, F.
“Clavien-Dindo classification” of postoperative complications after abdominoplasty
A retrospective single centre analysis and comparison to international data
Humanmedizin; [ Diplomarbeit ] Graz Medical University; 2017. pp. 69
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- Autor*innen der Med Uni Graz:
- Betreuer*innen:
- Lumenta David Benjamin
- Reischies-Meikl Frederike Marie Josefine
- Altmetrics:
- Abstract:
- Background: According to the World Health Organisation, obesity rates have more than doubled since 1980. This result in an increased prevalence of tissue excess and laxness which has led to Abdominoplasty being the sixth most common surgical procedure in the United States. Abdominoplasty is according to literature associated with a higher risk for developing postoperative complications compared to other contouring procedures. This thesis aims to evaluate local complication rates and data from literature as well as the use of the Clavien-Dindo classification of surgical complications as a grading system for post-operative complications after abdominoplasty. Methods: This retrospective analysis evaluated all patients admitted to the Department of Plastic, Aesthetic and Reconstructive Surgery at the Medical University Hospital Graz to receive abdominoplasty as part of weight loss associated tissue reduction or autologous breast-reconstruction between 01/2001-11/2016. All types and prevalence of complications associated with these procedures were identified from medical records, manually trans-ferred into IBM SPSS Statistics Version 22.0 (IBM, Armonk, USA) for statistical analysis and then classified with the Clavien-Dindo classification. Source of the retrospective anal-ysis was PubMed (U.S. National Library of Medicine, Bethesda, Maryland, USA) and seventeen articles evaluated published between 01/1994 and 12/2016. Results: A total of (n=398/100%) patients between nineteen and seventy-eight, (n=355/89%) women and (n=43/11%) men, found eligible, were included in this study. All complications (n=387/100%) were recorded. The total complication rate was 47.7% and 27.4% after filtering with the six most common complications from the literature we re-viewed. The evaluation with the Clavien-Dindo classification showed (n=85/44.7%) Grade I, (n=28/14.7%) Grade II and (n=55/28.9%) Grade III complications. Grade III showed (n=6/3.2%) Grade III-a and (n=16/8.4%) Grade III-b complications. Grade IV, and Grade V complications were fortunately not registered in this collective. Conclusion: Depending on data analysis and definitions, complication rates can be report-ed in various modes. We demonstrated that the lack of standardized means can result in representing our own data among the highest or lowest published complication rates in the evaluated literature. We found the Clavien-Dindo classification to be a useful tool to achieve an objective classification of complications, notably in the case of abdominoplasty, when using its contracted form.