Hematoma and seroma formation in surgical wounds has negative effects on wound healing and subsequent morbidity to patients. The etiology is multifactorial, involving inadequate hemostasis, lymphatic disruption, shearing between tissue surfaces, creation of surgical dead space, and systemic coagulopathy. (2)
Seroma formation is a common post abdominoplasty complication, resulting in significant patient morbidity and expense. The incidence is particularly high where it is reported to occur in 10% to 57% of the patients (1-2). The higher incidence rates are reported in obese patients. Body mass index (BMI) is the traditional way of assessing patients for body contouring surgery and has been shown to have a predictive value for surgical complications.( …show more content…
It may be life-threatening, serious or minor. It may be preventable or may be totally freak and unpreventable. A high variation in the reported complication rates of abdominoplasty suggests
Although caution is recommended in undermining when a Kocher scar exists, we found that including BMI in the analysis disabled the risk of Kocher scar in causing wound healing problems. This makes sense considering the fact that subcostal scars are more common in more obese patients. BMI has been identified in many studies as a negative predictor of wound healing in abdominal surgery and in breast reconstruction surgery. (5–9)
The aim of our work is to study the effect of BMI on the outcome and complications of