Does Adipose Tissue Thickness Affect the Duration of Rotator Cuff Operations?
Özet
Objective: Accurate estimation of operation time will reduce operating room costs
and increase patient satisfaction. In recent studies, authors have found that thicker
adipose tissue at the operation site is associated with a higher rate of complications.
However, there is no study in the literature investigating the effect on operation
time of an increase in adipose tissue thickness. This present study hypothesized
that thicker adipose tissue in shoulder surgeries would prolong the operation time,
therefore the study was planned accordingly.
Material and Methods: Preoperative magnetic resonance images of patients applied
with rotator cuff repair between 2015 and 2020 were independently evaluated by
two observers. The acromial fat thickness was measured as the fat thickness of
the operation area, and the scapular fat tissue thickness as the fat thickness of the
region relatively far from the operation area. The data obtained were evaluated using
multivariate analysis and a binary logistic regression model.
Results: Evaluation was made of a total of 106 patients. The mean total operation
time was 89±33 mins. The mean acromial fat thickness was 12.2±4.89 mm and
the mean scapular fat thickness was 27.9±12.5mm. The increase in acromial fat
thickness was determined to have extended the operation time (OR=5.75, 29.21,
p<0.05).
Conclusion: The thickness of fat tissue in the surgical area is one of the factors
affecting operating time. Patients can be informed about the risk of prolonged
surgery time and associated complications before surgery and costs can be reduced
by optimizing operating room planning. In addition, it should be considered that
tendinous pathologies may be more common in individuals with increased adipose
tissue thickness and thus contribute to prolonging the operation time.
Kaynak
Acta Medica AlanyaCilt
6Sayı
2Bağlantı
https://dergipark.org.tr/tr/download/article-file/2365739https://hdl.handle.net/20.500.12868/1762