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    EFFECTS OF OBESITY ON ELECTIVE SPINAL SURGERY
    (2018) Gökçen, H. Bahadır; Çarkçı, Engin; Kemah, Bahattin; Şükür, Erhan; Öztürk, Çağatay
    Background: Obesity (Body Mass Index > 30 kg/m2) is currently a public health problem with increasing incidence. Obesity increases the challenges and complications of surgery in all surgical branches. In this study, we aimed to evaluate the intraoperative and perioperative complications of obesity encountered in spinal surgery.Materials and Methods: All patients undergoing elective spinal surgery in one orthopedic surgery practice between 2017 and 2018 were included in this study. Patient demographics, body mass index (BMI), preoperative hemoglobin and hematocrit values, volume of blood transfused, incision lengths, number of surgical levels, operational time, and amount of bleeding were retrospectively identified. Patients were divided into two groups according to BMI levels (Group A, < 30kg/m2; Group B > 30 kg/m2), and statistical analyses were performed using the Student’s t and Mann-Whitney U tests.Results: Seventy-seven patients with a mean age of 57.8 years (range, 19–72) were included in this study. Their mean BMI was 29.3 kg/m2 (19.9–39 kg/m2). The mean BMI of Group A was 25.7 kg/m2 and that of Group B was 34.6 kg/m2. The amount of bleeding, number of surgical levels, and skin-incision length were statistically significantly different between the two groups. The mean values of all of these parameters were higher in Group B.Conclusion: Although numerous factors play roles in operational success, we believe that identifying obesity in a patient is important for pre- and postoperative surgical preparation by the operation team.
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    Effects of obesity on elective spinal surgery
    (2018) Gökçen, H. Bahadır; Kemah, Bahattin; Çarkçı, Engin; Şükür, Erhan; Öztürk, Çağatay
    Background: Obesity (Body Mass Index > 30 kg/m2) is currently a public health problem with increasing incidence. Obesity increases the challenges and complications of surgery in all surgical branches. In this study, we aimed to evaluate the intraoperative and perioperative complications of obesity encountered in spinal surgery. Materials and Methods: All patients undergoing elective spinal surgery in one orthopedic surgery practice between 2017 and 2018 were included in this study. Patient demographics, body mass index (BMI), preoperative hemoglobin and hematocrit values, volume of blood transfused, incision lengths, number of surgical levels, operational time, and amount of bleeding were retrospectively identified. Patients were divided into two groups according to BMI levels (Group A, < 30kg/m2; Group B > 30 kg/m2), and statistical analyses were performed using the Student’s t and Mann-Whitney U tests. Results: Seventy-seven patients with a mean age of 57.8 years (range, 19–72) were included in this study. Their mean BMI was 29.3 kg/m2 (19.9–39 kg/m2). The mean BMI of Group A was 25.7 kg/m2 and that of Group B was 34.6 kg/m2. The amount of bleeding, number of surgical levels, and skin-incision length were statistically significantly different between the two groups. The mean values of all of these parameters were higher in Group B. Conclusion: Although numerous factors play roles in operational success, we believe that identifying obesity in a patient is important for pre- and postoperative surgical preparation by the operation team.
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    Factors affecting the length of hospitalization after elective spinal surgery Length of hospitalization after elective spinal surgery
    (BAYRAKOL MEDICAL PUBLISHER, 2021) Tekin, Sezgin Bahadır; Gökçen, H. Bahadır; Kemah, Bahattin; Öztürk, Çağatay
    Aim: In this study, it was aimed to investigate the factors affecting the length of hospital stay of patients who underwent elective spinal surgery. Material and Methods: A total of 120 patients who underwent elective spinal surgery between 2015 and 2018 were included in the study (29 men and 91 women). The mean age of the patients was 62.2 (Mean+/-13.9 SD) years. For each patient, data such as preoperative hemoglobin and albumin levels, age, gender, instrumentation level, revision surgery, preoperative anticoagulant use, duration of surgery, and bleeding volume were recorded. Results: Among the 120 patients participating in the study, 31 underwent revision surgery and 89, primary surgery. Statistically significant correlation was found between age and length of hospital stay (p=0.001), between instrumentation level and length of stay (p<0.001), between preoperative albumin level, blood loss and length of stay (p<0.001). There was a moderate and statistically significant correlation between the duration of the operation and the length of hospitalization (p<0.001). There was no statistically significant correlation between preoperative hemoglobin levels and length of hospitalization (p=0.247). Discussion: There are many modifiable and unchangeable factors that affect the length of hospital stay after elective spinal surgery. By evaluating these factors preoperatively, the length of hospitalization can be estimated.