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Chronic kidney disease as a risk factor in plastic surgery: Establishing risks and benefits

Abstract:

Plastic surgery (PS) encompasses a group of widely utilized esthetic and reconstructive surgical interventions. Among these, free tissue transplants and abdominal remodeling procedures, such as panniculectomy. Chronic kidney disease (CKD) figures as an important risk factor for the development of complications post-PS. Despite the scarcity of studies evaluating this association, it has been determined that age, cardio-metabolic comorbidities, and CKD severity may influence the development of complications after panniculectomy or free tissue transplants. On the other hand, PS may also have a prophylactic role in patients with CKD in need of kidney transplants, as panniculectomy has allowed indi-viduals previously ineligible for renal transplants to be-come eligible. However, further research is required in this field, in order to expand current knowledge and study the incidence of postoperative complications in other PS pro-cedures. The objective of this article is to collect, describe, and discuss clinical evidence supporting the role of CKD as a risk factor in PS, as well as to report the possible benefits these surgical procedures may have in subjects with CKD.