The impact of cosmetic tourism across one year on an NHS breast surgery unit

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Abstract

Background

This is a review of patients managed by our single-site breast surgery service for complications of cosmetic surgeries performed abroad and within the UK, across September 2022–2023.

Methods

A retrospective review of outpatient clinic and emergency theatre lists was used to identify patients; data was collected from their electronic records.

Results

25 patients (23 female) were identified, 20 had surgery abroad. Turkey was the most common destination that patients travelled to (n = 15), with bilateral breast augmentation being the most common procedure (n = 15). Post-operative infection and wound dehiscence (n = 10 and n = 8, respectively) were the most common complications; 72% (n = 18) of patients presented within 8 weeks of their surgery. There was incomplete recording of surgical details including precise date (recorded for 48%), clinic name (8%), and name of the surgeon (0%). 17 microbiological samples were sent, with 11 resulting in a named organism - Staphylococcus aureus was most common (n = 5). 17 (68%) cases were treated conservatively, without radiological or surgical interventions. When surgical management occurred (n = 6), it was for removal of breast implants (n = 5) or evacuation of haematoma (n = 1). The cost of managing these complications was at least £37,000.

Conclusion

Complications from cosmetic tourism present more commonly to the NHS than those resulting from private surgery performed in the UK. This has significant financial implications for the NHS. More accurate recording of relevant data, engagement in audits, and disseminating findings may help raise awareness of the risks and complications of cosmetic surgery performed abroad.
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美容旅游对英国国家医疗服务体系乳腺外科一年的影响。
背景:这是一项对 2022 年 9 月至 2023 年 9 月期间,由我们的单点乳房手术服务管理的、在国外和英国国内进行的整容手术并发症患者进行的审查:这是对2022年9月至2023年9月期间,由我们的单点乳房外科服务管理的、在国外和英国国内进行的整容手术并发症患者的回顾:方法:对门诊和急诊室名单进行回顾性审查,以确定患者身份;从患者的电子记录中收集数据。结果:确定了25名患者(23名女性),其中20人在国外接受了手术。土耳其是患者最常前往的目的地(15 人),双侧隆胸是最常见的手术(15 人)。术后感染和伤口开裂(分别为10例和8例)是最常见的并发症;72%的患者(18例)在术后8周内出现并发症。手术细节记录不完整,包括精确日期(48%)、诊所名称(8%)和外科医生姓名(0%)。共发送了 17 份微生物样本,其中 11 份样本检出了指定的病原体--金黄色葡萄球菌最为常见(5 份)。17例(68%)病例采用保守治疗,未进行放射或手术干预。手术治疗的病例(6 例)主要是为了取出乳房假体(5 例)或清除血肿(1 例)。这些并发症的治疗费用至少为 3.7 万英镑:结论:与在英国进行的私人手术相比,在英国国家医疗服务系统(NHS)中出现的美容旅游并发症更为常见。这对英国国家医疗服务体系(NHS)造成了重大的财政影响。更准确地记录相关数据、参与审计和传播审计结果可能有助于提高人们对在国外进行整容手术的风险和并发症的认识。
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来源期刊
CiteScore
3.10
自引率
11.10%
发文量
578
审稿时长
3.5 months
期刊介绍: JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.
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