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Dr. Jeffrey Kenkel and Colleagues Examine Link Between Operative Time and Surgical Risk
Date:8/14/2014

http://www.prweb.net/Redirect.aspx?id=aHR0cDovL3d3dy5kcmtlbmtlbC5jb20vdHVtbXktdHVjay1kYWxsYXMtdHgucGhw" title="tummy tuck Dallas Texas" onclick="linkClick(this.href)" rel="nofollow">tummy tuck, facelifts, and breast reconstruction. The average patient underwent 4.9 concurrent procedures with operative times ranging from less than an hour to over 23 hours. A detailed analysis of the data demonstrated that operative time was the most significant independent risk factor and had a greater effect on complication rates than the patient's health status prior to surgery or the type of procedure being performed.

Dr. Kenkel and other Dallas plastic surgeons established a strong correlation between elevated complication rates following surgeries over 3.1 hours. Patients with operative times over 4.5 hours were three times more likely to experience complications, and those with operative times over 6.8 hours were nearly five times as likely.

Dr. Kenkel and his team are not suggesting that all procedures be less than 3 hours. On the contrary, they recognize how common this is. This information can be used to properly counsel the patient on their anticipated risks involved with longer surgical procedures.

Unlike other research analyzing operative time, this study focused on many conditions related to wound healing and recovery, not just major medical events. Dr. Kenkel stated, "Studies like this are important tools to improve the safety and outcome of plastic surgery procedures." In the past, surgical guidelines suggested six hours as a recommended cut-off time, but lacked evidence based data to support this claim.

Although operative time was identified as a predictor of risk, it wasn't attributed to a single type of complication. In general, infection, rupture, necrosis, erythema, and fluid accumulations were the most common complications. Furthermore, patients with underlying health issues, such as diabetes, obesity, and h
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