e-med-isral-ribbon

דרמטולוגיה

Smokers should quit before plastic surgery

from medicontext.co.il

WESTPORT (Reuters Health) – Smokers who are considering plastic surgery should quit before undergoing the procedure, plastic surgeons advise in the September issue of Plastic and Reconstructive Surgery.

Smoking increases the risk of post-surgical complications, particularly with major procedures such as breast reconstruction and facelifts, according to Drs. Jeffrey K. Krueger and Rod J. Rohrich of the University of Texas Southwestern Medical Center at Dallas. It also lowers the odds that patients undergoing elective surgery will be happy with the cosmetic results.

"Nicotine, carbon monoxide, and many other toxic tobacco by-products clearly interfere with the dynamics of normal wound repair," the authors report. In the field of plastic surgery, they note, operations with the highest risk of smoking-related complications include breast procedures, facelifts and abdominoplasty. Such procedures, they explain, involve injury to large flaps of skin, and smoking may interfere with healing.

One recent study of women undergoing breast reconstruction after mastectomy showed that smokers had higher rates of necrosis in skin flaps at the surgical site.

Drs. Krueger and Rohrich advise plastic surgeons to encourage patients to quit smoking and to help them find the means to quit whenever possible. One strategy, they note, would be to refuse to do an elective procedure until the patient quits.

At the very least, the surgeons advise, patients should agree to quit smoking for 4 weeks before and 4 weeks after any cosmetic or reconstructive surgery.

Anything that could interfere with successful procedures on "aesthetically important regions" of the body "must be identified and eliminated," the authors write.

"We have the power to improve the quality of surgical results, reduce the incidence of postoperative complications, and watch our patients enjoy longer, healthier lives," the authors add.

Plast Reconstr Surg 2001;108:1063-1073.

0 תגובות

השאירו תגובה

רוצה להצטרף לדיון?
תרגישו חופשי לתרום!

כתיבת תגובה

מידע נוסף לעיונך

כתבות בנושאים דומים

© ‫ אי-מד שיווק רפואי בע”מ
 כל הזכויות שמורות
09-765-8233 

 

הנך גולש/ת באתר כאורח/ת.

במידה והנך מנוי את/ה מוזמן/ת לבצע כניסה מזוהה וליהנות מגישה לכל התכנים המיועדים למנויים
עדיין לא מנוי/ה ונמנה/ת על הצוות הרפואי? מוזמן/ת לבצע הרשמה כאן
להרשמה לאתר
להמשך גלישה כאורח סגור חלון זה