Journal of plastic, reconstructive & aesthetic surgery : JPRAS · 2026
The impact of marijuana use on postoperative outcomes in reduction mammaplasty: Risks, complications, and considerations.
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ferdousian Sami, Ply Christopher M, Snee Isabel A, Greige Nicolas, Rohrich Rachel N, Lin Ryan P, Parikh Rajiv P, Jabbour Samer, Baker Stephen B, Fan Kenneth L
Аннотация
BACKGROUND: The legalization and social acceptance of marijuana in the United States has led to a significant increase in its use. However, there is a paucity of data surrounding the effect of marijuana on surgical outcomes, posing challenges for risk stratification and perioperative management in plastic surgery. This study aimed to evaluate the relationship between marijuana consumption and postoperative outcomes in patients undergoing reduction mammaplasty (RM).
METHODS: A multicenter retrospective analysis was conducted to compare the outcomes in patients who underwent RM between 2019 and 2024. Patients were stratified based on marijuana use. The primary outcomes included postoperative complications. Multivariate logistic regression models were used to identify complications independently associated with marijuana use.
RESULTS: A total of 1243 RMs were analyzed. Marijuana users accounted for 20.2% of the procedures (n = 251 RMs). Marijuana users were younger (28.6 years; interquartile range [IQR], 13.5 vs. 38.3 years [IQR, 22.5]; p < 0.001) and had higher rates of tobacco use (16.3% vs. 10.3%; p = 0.010). However, marijuana use was independently associated with increased risk of hematoma formation (3.2% vs. 1.0%; p = 0.010; odds ratio [OR], 2.972; p = 0.039) and delayed wound healing (12.8% vs. 8.3%; p = 0.028; OR, 1.946; p = 0.018).
CONCLUSION: Perioperative marijuana use is associated with an increased risk of hematoma formation and delayed wound healing in RM patients. These findings underscore the need for standardized perioperative screening and counseling protocols regarding marijuana use.
METHODS: A multicenter retrospective analysis was conducted to compare the outcomes in patients who underwent RM between 2019 and 2024. Patients were stratified based on marijuana use. The primary outcomes included postoperative complications. Multivariate logistic regression models were used to identify complications independently associated with marijuana use.
RESULTS: A total of 1243 RMs were analyzed. Marijuana users accounted for 20.2% of the procedures (n = 251 RMs). Marijuana users were younger (28.6 years; interquartile range [IQR], 13.5 vs. 38.3 years [IQR, 22.5]; p < 0.001) and had higher rates of tobacco use (16.3% vs. 10.3%; p = 0.010). However, marijuana use was independently associated with increased risk of hematoma formation (3.2% vs. 1.0%; p = 0.010; odds ratio [OR], 2.972; p = 0.039) and delayed wound healing (12.8% vs. 8.3%; p = 0.028; OR, 1.946; p = 0.018).
CONCLUSION: Perioperative marijuana use is associated with an increased risk of hematoma formation and delayed wound healing in RM patients. These findings underscore the need for standardized perioperative screening and counseling protocols regarding marijuana use.