Patients undergoing bariatric surgeries: factors associated with post-operative complications from the surgical site
DOI:
https://doi.org/10.5327/Z1414-4425201800010006Keywords:
Complicações pós-operatórias, cirurgia bariátrica, obesidade, Sítio cirúrgicoAbstract
Objective: To verify the prevalence and the factors associated with postoperative surgical site complications in patients undergoing bariatric
surgeries. Method: A cross-sectional, retrospective, analytical study with a quantitative approach. 197 cases of obese patients undergoing bariatric surgery
were analyzed between January 2013 and January 2016 in Pernambuco, Brazil. Dichotomized variables were analyzed using the χ2 test. The risk of
complications was estimated by the odds ratio (OR). A significance of p <0.05 was assumed. Results: Among the 30 patients that made up the sample, 45
postoperative surgical site complications were observed. There was a higher incidence in individuals over 45 years of age (70.0%). The factors that stood
out as possibly being associated with the outcomes were: an open surgical approach (OR = 5.35), the insertion of drains (OR = 4.48), and a postoperative
period longer than 3 days of hospitalization (OR = 5.03). Conclusion: The following showed a high disposition for the development of complications
from the surgical site: a high prevalence of seroma, the Roux-en-Y bypass surgical technique, the patient’s age over 45 years old, a conventional/
open surgical approach, the insertion of cavitary drainage, and a hospitalization stay longer than 3 days.
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