Abstract: Trends and Perioperative Outcomes in Combined Abdominoplasty and Elective Breast Surgery in the United States, 2004-2011 (Plastic Surgery 2014)

Sunday, October 12, 2014: 11:05 AM

Hossein Masoomi, MD , Department of Surgery, University of California, Irvine, Orange, CA

Jenna B Martin, MD , Aesthetic and Plastic Surgery Institute, University of California Irvine, Orange, CA

Ashkaun Shaterian, MD , Aesthetic and Plastic Surgery Institute, University of California Irvine, Orange, CA

Keyianoosh Z Paydar, MD, FACS , The Aesthetic & of Plastic Surgery Institute, University of California, Irvine, Orange, CA

Garrett A. Wirth, MD, MS, FACS , Aesthetic and Plastic Surgery Institute, University of California Irvine, Orange, CA

Presentation PDF file

Goals/Purpose: Combined procedures involving elective breast surgery at the time of abdominoplasty are frequently performed procedures in aesthetic plastic surgery. To date, few studies have investigated the demographics and safety of this combined procedure. The purpose of this study was to explore the frequency, complications, and costs of the combined procedure in the United States

Methods/Technique: We evaluated the Nationwide Inpatient Sample (NIS) database from 2004-2011. We used ICD-9 CM procedural codes to identify hospitalizations where patients underwent abdominoplasty combined with an elective breast procedure (reduction mammoplasty, mastopexy, and/or augmentation mammoplasty). We trended the frequency of this combined procedure, and evaluated the rate of peri-operative complications, length of inpatient hospitalization, and total hospital charges.

Results/Complications: From 2004-2011, 29,235 combined abdominoplasty/breast procedures were performed. After peaking in 2005, the frequency of the combined procedure down-trended in subsequent years. Patients were most likely to be Caucasian (77.5%), privately insured (47%), and in the Southern United States (36.6%). Average patient age was 44 years; the portion of patients older than 50 years increased from 2004 (24.7%) to 2011 (32.7%). The majority of these procedures were performed in teaching hospitals (56.7%). The overall complication rate for the combined procedure was 3.6% (ranged from 2.4-5.6%), with the most frequent being hematoma (1.2%) followed by acute respiratory failure (0.6%). The combined procedure resulted in low rates of mortality (0.02%), VTE (0.1%), wound dehiscence (0.3%), wound infection (0.2%), and seroma (0.3%). The mean hospital stay was 1.8 days and the majority of these procedures were performed as an outpatient surgery. The mean total hospital charge was $31,177. The mean hospital stay demonstrated minimal variation (1.7 days to 1.9 days) during these years, however, the mean total hospital charges significantly increased each year from 2004 ($22,194) to 2011 ($44,302).

Conclusion: In the United States, combined abdominoplasty and elective breast surgery procedures are being performed in significant numbers. The combined abdominoplasty and elective breast surgery procedure appears to be a safe surgical option that is associated with a low mortality rate, low complication rate, and short inpatient hospitalization.

24376 Trends and Perioperative Outcomes in Combined Abdominoplasty and Elective Breast Surgery in the United States, 2004-2011