title: Safety and efficacy of outpatient lower body lifting.
abstract: BACKGROUND
  The lower body lift (LBL) is a comprehensive body contouring procedure done after massive weight loss. Because of the magnitude of the operation and demands of subsequent care, it has traditionally been viewed as an inpatient procedure. However, it is believed that with surgical experience combined with fine tuning of perioperative and postoperative care, lower body lifting is safe as an outpatient in properly selected patients.
  
  
  METHODS
  In this article, we retrospectively review and evaluate our series of 35 patients (19 outpatient and 16 inpatient), who have undergone lower body lifting after massive weight loss. Operative technique, perioperative management, and postoperative care are reviewed.
  
  
  RESULTS
  Compared to the inpatients, the body mass index of the outpatients was significantly less: 24.99 compared to 30.89 kg/m, respectively (P = 0.002 χ value 7.886). Reoperations did not occur in any of the 19 outpatient LBL procedures, but were necessary in 6 of the 16 inpatients, all for wound closure (P < 0.001 χ value 25.811). No patient in either group had thromboembolic occurrences, clinically apparent hematomas, and none required transfusions.
  
  
  CONCLUSIONS
  Outpatient LBL is safe and effective when performed on the properly selected patient. Avoidance of hospitalization has importance in minimizing nosocomial infections or other complications. There is also potential great influence on access to care due to reduced costs associated with outpatient surgery centers, compared to hospitals. As such, a financial barrier is alleviated to many who cannot otherwise afford these procedures after weight loss.
authors.affiliation: Section of Plastic and Reconstructive Surgery, Department of Surgery, University of Michigan Health Systems, Ann Arbor, MI, USA.
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Buchanan
authors.forename: Hossein
authors.initials: H
authors.lastname: Nasajpour
authors.forename: Bruce A
authors.initials: BA
authors.lastname: Mast
mesh_terms: D061645:Abdominoplasty / Q000379:methods*; D000328:Adult; D000556:Ambulatory Surgical Procedures; D002081:Buttocks / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015187:Lipectomy / Q000379:methods*; D008875:Middle Aged; D009765:Obesity; D017063:Outcome Assessment, Health Care; D018579:Patient Selection; D011182:Postoperative Care; D011183:Postoperative Complications / Q000517:prevention & control; D012189:Retrospective Studies; D013848:Thigh / Q000601:surgery*; D015431:Weight Loss