Abdominoplasty Consent Forms DoNot Caution against the Potential Lossof a Reconstructive Option forBreast Reconstruction

Submental lymph node metastasis from invasive ductal breast carcinoma

“…(1) There must be histologically verified primary tumour. (2) The secondary lesion must be histologically identical to the primary tumour. (3) The neoplasm does not occupy a site where primary tumours of oral origin typically arise.…”

“…Breast cancer continues to be one of the leading causes of death among women [1][2][3][4]. Metastasis of female breast cancer is well documented [5][6][7].…”

Geisinger MyCode® detects BRCA2 mutation prior to abdominal panniculectomy allowing for DIEP flap breast reconstruction

“…Unfortunately, 87% of surgeons did not routinely consent patients regarding the loss of TRAM flap as a reconstructive option after abdominoplasty [7]. Additionally, 83 preprinted abdominoplasty consent forms were obtained from hospitals worldwide, and none of the forms discussed that abdominoplasty would limit potential reconstructive options [8]. These authors advocate for routinely informing female patients who are going to have an abdominoplasty about the potential limitations for future breast reconstruction [7,8].…”

“…Additionally, 83 preprinted abdominoplasty consent forms were obtained from hospitals worldwide, and none of the forms discussed that abdominoplasty would limit potential reconstructive options [8]. These authors advocate for routinely informing female patients who are going to have an abdominoplasty about the potential limitations for future breast reconstruction [7,8]. Even though we know that this should be part of the informed consent, we must all be more vigilant in discussing this downside of panniculectomy and abdominoplasty with our patients.…”

Establishing Tension-Free Direct Wound Closure Using the Viscoelastic Properties of the Skin

“…7 Thus, once high closing tensions are reached, very little additional tissue can be recruited for wound closure, and other solutions, such as flaps or grafts, should be considered. [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] Tension is an important variable in wound healing. [1][2][3] Increased tension leads to compromised circulation, wound dehiscence, necrosis, suture cutout, and slow wound healing.…”