Vasileios Theocharidis1, Ioannis Katsaros1, Emmanouil Sgouromallis1, Nikolaos Serifis1, Vasileios Boikou2, Sotirios Tasigiorgos3, George Kokosis4, Konstantinos P Economopoulos5. 1. Surgery Working Group, Society of Junior Doctors, 5 Menalou St., Athens, 15123, Greece. 2. Surgery Working Group, Society of Junior Doctors, 5 Menalou St., Athens, 15123, Greece; Department of Marketing and Communication, Athens University of Economics and Business, 76 Patission str., Athens, 10434, Greece. 3. Surgery Working Group, Society of Junior Doctors, 5 Menalou St., Athens, 15123, Greece; Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St., Boston, MA 02115, USA. 4. Division of Plastic Surgery, Department of Surgery, Johns Hopkins Hospital, 1800 Orleans St., Baltimore, MD 21287, USA. 5. Surgery Working Group, Society of Junior Doctors, 5 Menalou St., Athens, 15123, Greece; Department of Surgery, Duke University Medical Center, 2301 Erwin Rd, Durham, NC 27710, USA. Electronic address: economopoulos@sni.gr.
Abstract
BACKGROUND: Smoking is considered to be a significant risk factor for the development of postoperative complications after various surgical procedures, mainly by limiting oxygen delivery to tissues. Evidence on the collective impact of smoking in aesthetic procedure outcomes is scarce. The aim of this study is to evaluate the current evidence on the association between smoking and postoperative outcomes in patients who underwent common elective procedures in plastic surgery. METHODS: PubMed and Cochrane bibliographical databases were searched from January 1950 to October 2016 for studies reporting on patients who underwent facelift, abdominoplasty, breast reduction and breast reconstruction and for studies with included data on smoking history of treated patients. RESULTS: Fifty-three studies reporting on postoperative complications in tobacco users undergoing facelift, abdominoplasty, breast reduction and reconstruction were identified. Tobacco use is found to significantly increase the total number of postoperative complications as far as abdominoplasty (OR: 5.43; 95% CI = 2.92-10.10), breast reduction (OR: 2.36; 95% CI = 1.64-3.39) and breast reconstruction (OR: 1.91; 95% CI = 1.69-2.17) are concerned. Smoking history does not significantly affect total postoperative complications after facelift procedures (OR: 3.36; 95% CI = 0.92-12.30). CONCLUSIONS: Smoking predisposes to surgical site infections, delayed wound healing and skin necrosis in patients undergoing the most common aesthetic procedures in plastic surgery. More rigorous and detailed reporting on the history of tobacco use and surgical outcomes following plastic surgery procedures is needed to better quantify the impact of smoking on the overall postoperative care for this patient population.
BACKGROUND: Smoking is considered to be a significant risk factor for the development of postoperative complications after various surgical procedures, mainly by limiting oxygen delivery to tissues. Evidence on the collective impact of smoking in aesthetic procedure outcomes is scarce. The aim of this study is to evaluate the current evidence on the association between smoking and postoperative outcomes in patients who underwent common elective procedures in plastic surgery. METHODS: PubMed and Cochrane bibliographical databases were searched from January 1950 to October 2016 for studies reporting on patients who underwent facelift, abdominoplasty, breast reduction and breast reconstruction and for studies with included data on smoking history of treated patients. RESULTS: Fifty-three studies reporting on postoperative complications in tobacco users undergoing facelift, abdominoplasty, breast reduction and reconstruction were identified. Tobacco use is found to significantly increase the total number of postoperative complications as far as abdominoplasty (OR: 5.43; 95% CI = 2.92-10.10), breast reduction (OR: 2.36; 95% CI = 1.64-3.39) and breast reconstruction (OR: 1.91; 95% CI = 1.69-2.17) are concerned. Smoking history does not significantly affect total postoperative complications after facelift procedures (OR: 3.36; 95% CI = 0.92-12.30). CONCLUSIONS: Smoking predisposes to surgical site infections, delayed wound healing and skin necrosis in patients undergoing the most common aesthetic procedures in plastic surgery. More rigorous and detailed reporting on the history of tobacco use and surgical outcomes following plastic surgery procedures is needed to better quantify the impact of smoking on the overall postoperative care for this patient population.
Authors: Silvia Radwanski Stuart; Alexandre Mendonça Munhoz; Cristiane L G Chaves; Eduardo Montag; Thalita C S Cordeiro; Tatiana Taba Fuzisaki; Gustavo N Marta; Heloisa A Carvalho Journal: Rep Pract Oncol Radiother Date: 2021-09-30
Authors: Kalle Kainiemi; Antti Malmivaara; Sari Sillman-Tetri; Mervi Lasander; Minna Heinonen; Tellervo Korhonen; Juhani Sand; Tiina Laatikainen; Antti Kyrö Journal: Tob Prev Cessat Date: 2022-08-29
Authors: D J S Makarawung; M Al Nawas; H J M Smelt; V M Monpellier; L M Wehmeijer; W B van den Berg; M M Hoogbergen; A B Mink van der Molen Journal: JPRAS Open Date: 2022-06-29