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Visceral obesity determined in routine preoperative CT scans predicts risk of postoperative burst abdomen.

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  • معلومة اضافية
    • المصدر:
      Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101563288 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-2322 (Electronic) Linking ISSN: 20452322 NLM ISO Abbreviation: Sci Rep Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: London : Nature Publishing Group, copyright 2011-
    • الموضوع:
      Obesity, Abdominal*/complications ; Abdomen*; Humans ; Obesity/complications ; Tomography, X-Ray Computed/methods ; Risk Factors ; Postoperative Complications/diagnostic imaging ; Postoperative Complications/etiology ; Body Mass Index ; Retrospective Studies ; Intra-Abdominal Fat/diagnostic imaging
    • نبذة مختصرة :
      Burst abdomen (BA) remains a severe postoperative complication after abdominal surgery. Obesity is a known risk factor for postoperative complications but objective parameters such as body mass index fail to predict BA after abdominal surgery. In recent literature, CT-derived body composition assessment could predict obesity-related diseases and surgical site infections. We report data from the institutional wound register, comparing patients with BA to a subgroup of patients without BA. The CT images were evaluated for intraabdominal and subcutaneous fat tissues. Univariate and multivariate risk factor analysis was performed in order to evaluate CT-derived obesity parameters as risk factor for BA. 92 patients with BA were compared to 32 controls. Patients with BA had significantly more visceral obesity (VO; p < 0.001) but less subcutaneous obesity (SCO) on CT scans. VO and SCO both were positively correlated with BMI (r = 0.452 and 0.572) but VO and SCO were inversely correlated (r = -0.189). Multivariate analysis revealed VO as significant risk factor for postoperative BA (OR 1.257; 95% CI 1.084-1.459; p = 0.003). Our analysis of patients with postoperative BA revealed VO as major risk factor for postoperative BA. Thus, preoperative CT scans gives valuable information on possible risk stratification.
      (© 2023. The Author(s).)
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    • الموضوع:
      Date Created: 20231205 Date Completed: 20231207 Latest Revision: 20231222
    • الموضوع:
      20231222
    • الرقم المعرف:
      PMC10697964
    • الرقم المعرف:
      10.1038/s41598-023-48714-0
    • الرقم المعرف:
      38052856