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dc.contributor.authorShah, R.
dc.contributor.authorAl-Ajam, Y.
dc.contributor.authorStott, D.
dc.contributor.authorKang, N.
dc.identifier.citationShah , R , Al-Ajam , Y , Stott , D & Kang , N 2010 , ' Obesity in mammaplasty : a study of complications following breast reduction ' , Journal of Plastic Reconstructive and Aesthetic Surgery , vol. 64 , no. 4 , pp. 508-514 .
dc.identifier.otherPURE: 117798
dc.identifier.otherPURE UUID: b5d5e099-133b-40d2-a0d6-191465431d9c
dc.identifier.otherdspace: 2299/5847
dc.identifier.otherScopus: 79952699166
dc.descriptionOriginal article can be found at : Copyright British Association of Plastic, Reconstructive and Aesthetic Surgeons [Full text of this article is not available in the UHRA]
dc.description.abstractBackground : Access to effective surgical treatments such as breast reduction is often restricted on the grounds of patient obesity. However, there is a lack of unambiguous data on the surgical risks of obesity in patients undergoing breast reduction. The aim of this study was to assess the relationship between patient obesity, as determined by body mass index (BMI), and surgical outcome following bilateral breast reduction (BBR). Methods : Retrospective review of case notes was conducted for 306 patients who underwent BBR in our unit over a 5-year period. BMI, resection weight, smoking history, technique, complications and outcomes were determined from records of follow-up assessment. Results : Overall complication rate was 53.9%, with multiple complications of 22.9%. A significant increase in complications after BBR with increasing BMI was identified (p = 0.019 any complication, p = 0.002 multiple complications). The effect of BMI on multiple complications was significant and independent of resection weight (p = 0.031) and reduction technique (p = 0.020). Smoking was associated with higher wound dehiscence and multiple complications. We developed a model for predicting risk of complications based on key variables. Despite higher complications, there was no significant difference in aesthetic outcome at follow-up between the BMI groups. Conclusions : These findings add to the body of evidence that obesity is associated with an increased risk of post-operative complications. This has implications for surgeons and healthcare payers. However the majority of complications were minor and aesthetic outcomes were satisfactory in the majority of cases. The use of a ‘target’ BMI as exclusion criteria should therefore be treated with caution.en
dc.relation.ispartofJournal of Plastic Reconstructive and Aesthetic Surgery
dc.subjectbilateral breast reduction
dc.subjectreduction mammaplasty
dc.subjectbody mass index (BMI)
dc.subjecthealth care rationing
dc.titleObesity in mammaplasty : a study of complications following breast reductionen
dc.contributor.institutionDepartment of Allied Health Professions and Midwifery
dc.description.statusPeer reviewed
rioxxterms.typeJournal Article/Review

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