scholarly journals Wound Complications Due to Obesity in the Patients Undergoing Abdominal Surgery

2017 ◽  
Vol 23 (1) ◽  
Author(s):  
Ammar Rasool ◽  
Yar Muhammad ◽  
Khalid Masood Gondal ◽  
Umair Ahmed Khan
Keyword(s):  
Body Mass Index ◽  
Abdominal Surgery ◽  
Wound Infection ◽  
Body Mass ◽  
Perioperative Complications ◽  
Wound Complications ◽  
Coagulation Disorder ◽  
Obese Patients ◽  
Group A ◽  
Group B

<p>Various factors may affect the outcome of patients in perioperative period. Obesity is considered as one of these factors which increases the risk of perioperative complications. The wound complications in obese and non-obese are different.</p><p><strong>Objective:</strong><strong>  </strong>The objective of the study was to compare wound complications in obese and non-obese patients undergoing abdominal surgery.<strong></strong></p><p><strong>Methods:</strong>  This comparative study was conducted from 01- 05-2012 to 30-04-2015 on 140 patients in the department of surgery, Mayo Hospital Lahore. All these patients were divided into two groups of 70 patients each. Group A (obese) and B (nonobese) on the basis of body mass index. The patients of age less than 12 years, peritonitis, diabetes mellitus, jaundice, renal failure, coagulation disorder were excluded in both groups. All the patients had open and laparoscopic surgery by the consultant on elective list. The operative and postoperative findings and outcome in term of wound complications like wound infection, dehiscence, seroma, hernia, were noted.</p><p><strong>Results:</strong>  All the140 patients were divided into group A (obese) and B (non obese) of 70 patients each. The age ranged from 17 to 58 years and males were common (50.8%) than females (49.2%). In group A, body mass index varied from 31.9kg m<sup>-2</sup> to 39.08kg m<sup>-2</sup> and in group B from 19.3kg m<sup>-2</sup> to 23.2kg m<sup>-2</sup>. The complications in group A were wound infection in 18, dehiscence in 5, seroma in 13, and hernia 4 patients. While in group B, the complications were wound infection in 3, seroma in 5, no dehiscence and incisional hernia in one patient. The results showed that early and late wound complications are more in obese patients.</p><p><strong>Conclusion:</strong><strong>  </strong>The wound complications are significantly associated with obesity in patients undergoing abdominal surgery and are more in obese than in non obese patients.</p>

scholarly journals Comparison between scalpel incision and electrocautery incision in midline abdominal surgery: a comparative study

2021 ◽  
Vol 8 (5) ◽  
pp. 1507
Author(s):  
Amit Yadav ◽  
Lakshman Agarwal ◽  
Sumit A. Jain ◽  
Sanjay Kumawat ◽  
Sandeep Sharma
Keyword(s):  
Postoperative Pain ◽  
Blood Loss ◽  
Abdominal Surgery ◽  
Wound Infection ◽  
Skin Incision ◽  
P Value ◽  
Wound Area ◽  
Significant Difference ◽  
Group A ◽  
Group B

Background: Fear of poor wound healing have curtailed the use of diathermy for making skin incision. Scalpel produces little damage to surrounding tissue but causing more blood loss. Our aim of study was to compare electrocautery incision with scalpel incision in terms of incision time, blood loss, postoperative pain and wound infection.Methods: Total of 104 patients were included in the study undergoing midline abdominal surgery. Patients were randomized into electrocautery (group A) and scalpel (group B). The incision dimension, incision time and blood loss were noted intraoperatively. Postoperative pain was noted on postoperative day 2 using visual analog scale. Wound complications were recorded on every postoperative day till the patient was discharged.Results: 52 patients in each of the two groups were analyzed. There was significant difference found between group A and group B in terms of mean incision time per unit wound area, 8.16±1.59 s\cm2 and 11.02±1.72 s\cm2 respectively (p value=0.0001). The mean blood loss per unit wound area was found to be significantly lower in group A (0.31±0.04 ml\cm2) as compared to group B (1.21±0.21), p value=0.0001. There was no significant difference noted in terms of postoperative pain and wound infection between both groups.Conclusions: Electrocautery can be considered safe in making skin incision in midline laparotomy compared to scalpel incision with comparable postoperative pain and wound infection with less intraoperative blood loss and less time consuming.

scholarly journals ANALYSIS OF BODY MASS INDEX (BMI) AND COGNITION IN ADOLESCENT FEMALES- A CORRELATIONAL STUDY

2021 ◽  
Vol 9 (5) ◽  
pp. 468-476
Author(s):  
Anjali Belwal ◽  
◽  
Reena Kumari ◽  
Deepak Nainwal ◽  
◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Statistical Significance ◽  
Adolescent Females ◽  
The Body ◽  
Physical Growth ◽  
Future Health ◽  
Wide Range ◽  
Group A ◽  
Group B

Background: Adolescent is characterised by rapid physical growth and sexual development, accompanied by changes in the percentage of body fat. Obesity and underweight are one of the most prominent problems of the modern society which consists of a wide range of short-term and long-term complications. The rising prevalence of childhood obesity is directly related to the vascular, metabolic condition and risk factor to cognitive decline or dementia. Under-weight is also often associated with acute and chronic medical complications like Anorexia nervosa, low bone density and mass with impaired immune system and increased mortality rate. Therefore purpose of this study is to identify early signs of impaired BMI as a cause of cognitive impairment and prevent the child obesity and underweight to overcome the future health risk factors. The aim of this study is to find a correlation between BMI and MMSE score in Indian adolescent females. Methodology: 31 female subjects with mean age 16±3 years were selected according to random sampling in this study. The Quetlets formula was used to measure body mass index. Group division for Underweight, Normal and Over-weight was done for the BMI score then Score of MMSE, a measure of cognition was taken. Data was analyzed using SPSS version 16. The Karl Pearsons Coefficient correlation was calculated to see correlation between BMI and MMSE cognitive function. P < 0.05 was considered of statistical significance. Result: The study found correlative change in variables as observed in group A MMSE mean 25.84±3.83 and BMI mean 16.10±1.08 with P<0.05 i.e which was found statically significant. In group B MMSE mean 26.22±1.30 and BMI mean 20.60±1.80 with P>0.05 i.e which was found statically non significnat. In group C MMSE mean 23.00±3.46 and BMI mean 26.06±1.15 with P<0.05 i.e which was found statically significant. And in total number of subject MMSE mean 25.68±3.3 and BMI mean 18.37±3.51with P>0.05. it was found that there was a significant correlation between the body mass index and cognition in group A and group C but there was no significant correlation between body mass index and cognition in group B and total number of subjects(31). Conclusion: The study conclude to state that there exist a significance correlation and of body mass index on cognition.

scholarly journals The relationship between thyroidectomy complications and body mass index

2020 ◽  
Vol 66 (11) ◽  
pp. 1573-1576
Author(s):  
Mehmet Üstün ◽  
Avni Can Karaca ◽  
Ihsan Birol ◽  
Gülberk Uslu ◽  
Semra Demirli Atici ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Nerve Palsy ◽  
Operative Time ◽  
Bleeding Complications ◽  
Recurrent Nerve ◽  
Recurrent Nerve Palsy ◽  
Group A ◽  
Group B ◽  
The Relationship

SUMMARY INTRODUCTION: Obesity is a growing public health problem associated with many comorbid diseases. The aim of this study was to evaluate the relationship between body mass index and complications of thyroidectomy. METHODS: Patients who underwent total thyroidectomy between January 2015 and December 2018 were enrolled. Patients were divided into two groups, i.e., BMI <25 (group A) and BMI≥ 25 (group B). Demographics, operative time, and complications were retrospectively reviewed. RESULTS: The study included 145 patients (66 in Group A and 79 in Group B). There was no significant difference between the two groups in terms of age (p=0.330) and gender (p=0.055). No surgical site infection and bleeding complications were observed in any patients. The mean operative time was 148.4 minutes (90-235) in Group A and 153.4 minutes (85-285) in Group B (p=0.399). Transient hypocalcemia was observed in 25 (37.9%) patients in group A, and 23 (29.1%) patients in Group B (p = 0.291). Permanent hypocalcemia was not observed in any patient in group A, and in 2 patients in Group B (2.5%) (p = 0.501). Transient recurrent nerve palsy was observed in 1 (1.5%) patient in Group A and in 3 (3.8%) patients in Group B (p=0.626). None of the patients had permanent recurrent nerve palsy. Parathyroid autotransplantation was performed on 1 patient (1.5%) in group A and on 7 (8.9%) patients in Group B (p=0.055). CONCLUSION: We think there is no relationship between a high BMI and thyroidectomy complications, and surgery can also be performed safely in this patient group.

scholarly journals THE COMPARISON BETWEEN NORMAL, OVERWEIGHT, AND OBESE BODY MASS INDEX CATEGORIES WITH RISK OF HAVING PLANTAR FASCIITIS IN WOMEN ADULTS AT GIANYAR DISTRICT

2018 ◽  
Vol 6 (2) ◽  
pp. 32
Author(s):  
I Putu Adi Merta ◽  
I Made Niko Winaya ◽  
I Wayan Sugiritama
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Plantar Fasciitis ◽  
Data Distribution ◽  
Sampling Technique ◽  
Plantar Fascia ◽  
Chi Square ◽  
Cross Sectional ◽  
Group A ◽  
Group B

Elevated body mass can increases plantar pressure, so that causing overstretch the plantar fascia and occurs inflammation. The aims of this study was to compare the risk of having plantar fasciitis in women with normal, overweight, and obese body mass index at Gianyar district. This study is a cross-sectional analytic study. Samples are selected using purposive sampling technique. The samples consists of 3 groups, which amounted to 25 people in each group. Group A was women with normal BMI, group B was women with overweight BMI, and group C was women with obese BMI. The result of pearson chi-square p = 0.022 (p ? 0.05) indicating that there is a significant data distribution difference. The relative risk for overweight-obese compared to normal BMI was RR=3.34 [95% CI 1.09 - 10.16]. Concluded that there is a difference proportion of risk having plantar fasciitis between normal BMI (4%), overweight BMI (10,7%), obesity BMI (16%) and overweight-obese BMI have 3,34 times greater risk of having plantar fasciitis than the normal BMI category. Keywords: Body Mass Index, overweight, obese, plantar fasciitis, women

scholarly journals Subject Body Mass Index Affects Doppler Waveform in Celiac Artery by Duplex Ultrasound

2013 ◽  
Vol 7 (1) ◽  
pp. 40-45 ◽  
Author(s):  
Akram M Asbeutah ◽  
Yousif Y Bakir ◽  
Nayanatara Swamy ◽  
Abdul Aziz A Absuetah ◽  
Muna A Abu-Asi ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Statistical Significance ◽  
Peak Systolic Velocity ◽  
Duplex Ultrasound ◽  
Celiac Artery ◽  
T Test ◽  
Fatty Tissue ◽  
Group A ◽  
Group B

Objective: The aim of this study is to evaluate the effect of body mass index (BMI) on peak systolic velocity (PSV) recording in the celiac artery (CA). Subjects & Methods: Forty male participants were entered prospectively into the study. The subjects were divided into two groups according to their body mass index. Group A included subjects with BMI ≤25 Kg/m2 and those in group B with BMI >25 Kg/m2. The diameter and PSV at the origin of CA of subjects in both groups were recorded while the subject positioned in supine and during expiration phase and fasted for 4 hours using duplex ultrasound. Both groups were matched for age and sex. Independent Student’s t-test was used to test if there is any statistical significance between diameter and PSV in both groups. Results: Group A’s, average age (year, ±SD) was 29.35±1.35 and average BMI (Kg/m2, ±SD) was 23.1±1.60. Group B’s, average age was 30±2.1 and their average BMI was 31±5.1. The average diameter (cm, ±SD) of CA in group A was 0.66±0.076 and in group B was 0.80±0.066. However, the average PSV (cm/s, ±SD) was 117±28.1 in group A and 102±12.4 in group B. Independent student t-test showed statistical significance between both groups for the diameter (p=0.005) and just reached statistical significance for PSV (p=0.049). Conclusion: Subjects with higher BMI showed reduced PSV due to a larger CA diameter and probably due to more fatty tissue accumulation around the CA origin.

scholarly journals Dietary and exercise interventions for perimenopausal women Health status impact study

2021 ◽  
Author(s):  
Shuping Hao ◽  
Sisi Tan ◽  
Jing Li ◽  
Weimin Li ◽  
Jingyun Li ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Waist Circumference ◽  
Health Education ◽  
Resistance Exercise ◽  
Body Mass ◽  
Physical Measurements ◽  
Perimenopausal Women ◽  
Group A ◽  
Group B ◽  
Intensive Education

Abstract Background: At present, there are few studies on individualized dietary guidance and exercise intervention for perimenopausal women. The purpose of this article is to explore the effects of centralized health education, health education + individualized diet guidance, and health education + individualized diet guidance + intensive resistance exercise on the physical measurements of perimenopausal women. Design: 78 perimenopausal women divided into three groups: Group A, Group B and Group C. Participants: Group A received routine gynecological diagnosis and treatment and participated in centralized lifestyle health education. Group B required to participate in all intensive education content, professional dietitians to give individualized dietary guidance. Group C received intensive education, individualized diet intervention, and intensified resistance exercise. Main Measures: Dietary scores, exercise habits, waist circumference, body mass index, fat and muscle mass were observed after 3 months. Results: After intervention, the total diet score of group C was higher than that of group A and B, and the red meat score was significantly reduced. The number of patients in group B and group C who exercised >3 times per week and the number of resistance exercises per week were significantly increased, while the number of aerobic exercises per week in group C was significantly increased. Comparison of the changes of body measurement indexes after the three different interventions showed that body fat and waist circumference were significantly reduced, and skeletal muscle weight was significantly increased; body mass index, trunk fat ratio and waist to hip ratio were significantly decreased in group B and C, while trunk muscle was significantly increased in group C. Conclusion: The combined intervention of the three methods can give full play to the synergistic effect of various interventions, and the improvement effect of increasing the appropriate amount of resistance exercise is more obvious, which is worthy of further promotion and application. Retrospectively registered: researchregistry6331, date of registration : December 4, 2020.

scholarly journals A Slight Decrease in Renal Function Further Impairs Bone Mineral Density in Primary Hyperparathyroidism

2006 ◽  
Vol 91 (8) ◽  
pp. 3011-3016 ◽  
Author(s):  
Laura Gianotti ◽  
Francesco Tassone ◽  
Flora Cesario ◽  
Anna Pia ◽  
Paola Razzore ◽  
...  
Keyword(s):  
Bone Mineral Density ◽  
Body Mass Index ◽  
Renal Function ◽  
Primary Hyperparathyroidism ◽  
Body Mass ◽  
Bone Mineral ◽  
Urinary Calcium ◽  
Mineral Density ◽  
Group A ◽  
Group B

Abstract Background: The impairment of renal function can affect the clinical presentation of primary hyperparathyroidism (PHPT), increasing cardiovascular morbidity, fracture rate, and the risk of mortality. Aim: The aim of the study was to assess the differences in bone status in a series of consecutive patients affected by PHPT without overt renal failure at diagnosis grouped according to creatinine clearance (Ccr). Methods: A total of 161 consecutive patients with PHPT were studied. They were divided into two groups based on Ccr. Group A had Ccr 70 ml/min or less (n = 49), and group B had Ccr greater than 70 ml/min (n = 112). PTH, total and ionized serum calcium; urinary calcium and phosphate; serum 25-hydroxyvitamin D3; serum and urinary bone markers; lumbar, forearm, and femoral bone mineral density (BMD) were evaluated. Results: Patients in group A were older than those in group B (P &lt; 0.0001). PTH levels did not differ in the two groups, whereas both urinary calcium and phosphorus were lower in group A than group B (P &lt; 0.01). Lower BMD was evident in group A at lumbar spine (P &lt; 0.002), forearm (P &lt; 0.0001), and femur (P &lt; 0.01). In asymptomatic PHPT, those with Ccr 70 ml/min or less had lower forearm BMD than patients with higher Ccr (P &lt; 0.00001). When adjusting for age and body mass index in PHPT, BMD at each site persisted being lower (P &lt; 0.05) in group A than group B. In all PHPT subjects, Ccr (beta = 0.29, P &lt; 0.0005), age (beta = −0.27, P &lt; 0.00001), and PTH levels (beta = −0.27, P &lt; 0.0005) were all independently associated with forearm BMD. Conclusions: In PHPT a slight decrease in renal function is associated with more severe BMD decrease, independent of age, body mass index, and PTH levels. This association is also present in asymptomatic PHPT and strengthens the National Institutes of Health recommendations for surgery in patients with mild PHPT.

Influence of Body Mass Index on Compensatory Sweating in Patients after Thoracic Sympathectomy due to Palmar Hyperhidrosis

2017 ◽  
Vol 65 (06) ◽  
pp. 497-502 ◽  
Author(s):  
Natalia Cwalina ◽  
Tomasz Stefaniak ◽  
Lukasz Dobosz
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Palmar Hyperhidrosis ◽  
Compensatory Sweating ◽  
Thoracic Sympathectomy ◽  
Lumbar Area ◽  
Group A ◽  
Primary Hyperhidrosis ◽  
Group B ◽  
Methods Of Treatment

Background Thoracic sympathectomy (TS) is one of the most effective methods of treatment of primary hyperhidrosis. One of the side effects of this procedure is compensatory sweating (CS). Objective The aim of our study was to evaluate the influence of body mass index (BMI) on CS in patients after TS due to palmar hyperhidrosis. Methods Data from 157 patients with palmar hyperhidrosis who underwent TS were collected. The patients were subsequently divided in two groups according to their initial BMI: group A, BMI < 25 kg/m2, and group B, BMI ≥ 25 kg/m2. Objective (gravimetry) and subjective (VAS) measurements of the intensity of hyperhidrosis were taken from the patients' bodies prior to surgery, as well as 3 and 12 months after TS. Results Average palmar hyperhidrosis levels before the surgery did not differ significantly between the two groups (238.65 vs. 190.15; p = 0.053). A statistically significant decrease in palmar hyperhidrosis was noted in both groups, both 3 and 12 months after surgery (238.65 vs. 11.86 vs. 13.5; p < 0.05, and 190.15 vs. 16.67 vs. 11.81; p < 0.05, respectively). The intensity of sweating over the abdomino-lumbar area differed significantly between the groups before the surgery, both in subjective (1.71 vs. 3.61; p < 0.05) and objective (13.57 vs. 35.95; p < 0.05) evaluations. Three months after surgical intervention, an intensification of CS was observed in both the groups; however, no statistically significant differences were observed between the two sets of patients (VAS: 4.58 vs. 5.16; p = 0.38; gravimetry: 33.87 vs. 53.89; p = 0.12). Twelve months after TS, CS was higher in the group with an initial BMI ≥ 25 kg/m2, both in subjective and objective evaluations (3.23 vs. 4.94; p = 0.03 and 18.08 vs. 80.21; p = 0.026, respectively). Conclusion Patients with a BMI ≥ 25 kg/m2 experience more severe CS after TS, both in subjective and objective evaluations.

Clinical significance of obesity index (VFA versus BMI) as a risk factor for gastric cancer surgery.

2012 ◽  
Vol 30 (4_suppl) ◽  
pp. 139-139 ◽  
Author(s):  
Kyo Young Song ◽  
Jung Ho Shim
Keyword(s):  
Body Mass Index ◽  
Risk Factor ◽  
Body Mass ◽  
Visceral Fat ◽  
Visceral Fat Area ◽  
Obesity Index ◽  
Group A ◽  
Low Bmi ◽  
Male Patients ◽  
Group B

139 Background: Obesity is considered as a major perioperative risk factor in various cancer surgeries. We aimed to elucidate the effect of two different obesity index, such as VFA (visceral fat area) and BMI (body mass index), on gastrectomy. Methods: From Mar 2009 to July 2010, 632 patients with diagnosed gastric carcinoma underwent curative gastrecomy at Seoul St. Mary’s hospital. We reviewed patients’ clinicopatholic data and collected 187 patients who had data including BMI, VFA and SFA. Patients with body mass index (BMI) ≥ 25 kg/m 2 were defined as obese and visceral fat area (VFA) ≥ 100 were defined as centrally obese. Results: Out of a total 187 patients, eighty patients were in the high BMI group and 107 patients were in the low BMI group. We selected patients with high VFA and low BMI (group A) and compared to the patients with low VFA and low BMI (group B). Out of a total 107 patients in low BMI, seventy three patients were censored as high VFA, and age older than 60 and male patients were prevalent in this group (p=0.045 and 0.046). The operation time (OT) and estimated blood loss (EBL) were significantly higher in group A than group B (p=0.043 and p=0.05). Conclusions: VFA and BMI are correlated each other and successfully represent patients’ obesity. However in selected patients, such as male patients with age older than sixty, VFA more practically represent their obesity.

scholarly journals A Prospective Study Comparing Continuous Versus Interrupted Suture Techniques in Midline Abdominal Wound Closure

2020 ◽  
Vol 18 (1) ◽  
pp. 63-66
Author(s):  
Shiv Vansh Bharti ◽  
Anup Sharma
Keyword(s):  
Wound Infection ◽  
Wound Closure ◽  
College Teaching ◽  
Wound Complications ◽  
Burst Abdomen ◽  
Midline Laparotomy ◽  
Abdominal Closure ◽  
Group A ◽  
Laparotomy Wound ◽  
Group B

Introduction: Wound closure after midline laparotomy is an essential part of surgery to produce a healthy and a strong scar. There is an alternative interrupted method of closure as compared to conventional continuous method of closure. Many comparative studies have shown different outcomes. So, we wanted to evaluate the outcome of different techniques in our setting. Aims: To compare the outcome of Interrupted abdominal closure and continuous abdominal closure in midline laparotomy wound. Methods: This was a prospective comparative study conducted in the Department of Surgery of Nepalgunj Medical College Teaching Hospital, Kohalpur, Banke, Nepal for a duration of 1 year. A total of 60 patients were selected randomly to receive either continuous or interrupted abdominal closure in midline laparotomy wound. Wound was evaluated in terms of wound discharge, infection and wound dehiscence. Results: The mean age of the patients was 38.38 years. Most commonly, the patients presented with duodenal ulcer perforation with peritonitis. The average time taken for abdomen closure in group A (16.77 minutes) was significantly less as compared to group B (27.77 minutes). The average cost of sutures for group B (Rs 1322.97) was higher than that of sutures for group A (Rs 1118) with p value of <0.01. Wound infection and incidence of burst abdomen were similar in both groups after one month, suture sinus was seen in three patients of group A and four patients of group B (p = 1.0). Incisional hernia was seen in one patient of group A and in none of the patients of group B at three month’s follow-up (p = 1.0). Conclusion: Continuous technique of midline laparotomy wound closure is better in terms of time required for wound closure and costing of suture materials, while showing no difference in terms of wound infection, burst abdomen and late wound complications

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