Does Adipose Tissue Thickness Affect the Duration of Rotator Cuff Operations?

Yıl 2022, Cilt: 6 Sayı: 2, 126 - 132, 20.08.2022

Sefa Aktı , Serdar Aktı , Daghan Dogruyol , Selin Haver , Hakan Zeybek , Deniz Çankaya

https://doi.org/10.30565/medalanya.1101349

Öz

Aim: 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.

Anahtar Kelimeler

adipose tissue thickness, rotator cuff repair, surgery time

Omuz bölgesi yağ kalınlığının rotator manşet operasyonlarının süresine etkisi var mıdır?

Öz

Amaç: Ameliyat süresinin doğru tahmin edilmesi ameliyathane maliyetlerini azaltacak ve hasta memnuniyetini artıracaktır. Son çalışmalarda yazarlar, operasyon bölgesinde artan yağ dokusunun komplikasyonları arttırdığını bulmuşlardır. Ancak literatürde yağ dokusu kalınlığındaki artışın operasyon süresine etkisini araştıran bir çalışma bulunmamaktadır. Bu çalışmanın hipotezi, omuz bölgesinde artan yağ dokusu kalınlığının ameliyat süresini uzatacağıydı ve çalışma buna göre planlandı.

Yöntemler: 2015-2020 yılları arasında rotator manşet tamiri uygulanan hastaların ameliyat öncesi manyetik rezonans görüntüle3ri iki gözlemci tarafından bağımsız olarak değerlendirildi. Akromiyal yağ kalınlığı operasyon bölgesinin yağ kalınlığı olarak, skapular yağ dokusu kalınlığı ise operasyon bölgesine görece uzak bölgenin yağ kalınlığı olarak ölçüldü. Elde edilen veriler çok değişkenli analiz ve ikili lojistik regresyon modeli kullanılarak değerlendirildi.

Bulgular: Toplam 106 hasta değerlendirildi. Ortalama toplam operasyon süresi 89±33 dakika idi. Ortalama akromiyal yağ kalınlığı 12.2±4.89 mm ve ortalama skapular yağ kalınlığı 27.9±12.5 mm idi. Akromiyal yağ kalınlığındaki artışın operasyon süresini uzattığı belirlendi (OR=5.75, 29.21, p<0.05).

Sonuç: Ameliyat bölgesindeki yağ dokusunun kalınlığı ameliyat süresini etkileyen faktörlerden biridir. Ameliyathane planlaması optimize edilerek hastalar ameliyat öncesi uzamış ameliyat süresinin ve buna bağlı komplikasyonların riskleri hakkında bilgilendirilebilir ve maliyetler düşürülebilir. Ayrıca yağ dokusu kalınlığı artan bireylerde tendinöz patolojilerin daha fazla olabileceği ve bu yollada ameliyatı süresini uzamasına katıkıda bulunabileceği göz önünde bulundurulmalıdır.

Anahtar Kelimeler

yağ dokusu kalınlığı, rotator manşet tamiri, ameliyat süresi

Kaynakça

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