Acute Abdomen After Abdominoplasty: Differential Diagnosis

Freitas, Roseli Santos de; Ascenço, Adriana Sayuri Kurogi; Maluf, Ivan; Nasser, Isis Juliane Guarezi; Balbinot, Priscila; Lopes, Marlon Augusto Câmara; Forte, Antonio J.; Sadowski, J

doi:10.1007/s00266-013-0078-4

Cited by 4 publications

(1 citation statement)

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“…Late-onset haematomas are rare, usually associated with the presence of sutures, and can arise days or weeks after the operation. If the presentation involves acute pain, other causes of abdominal discomfort should be ruled out first [ 46 ], and the definitive diagnosis should be confirmed by ultrasound imaging. The surgical team should then decide whether surgical drainage is appropriate depending on the volume and associated symptoms.…”

Section: Resultsmentioning

confidence: 99%

Managing Complications in Abdominoplasty: A Literature Review

2017

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BackgroundAbdominoplasty, with or without liposuction, is among the most frequently performed aesthetic procedures. Its main objective is to improve the body contour by means of excising redundant skin and fat tissue. Although abdominoplasty is considered a safe procedure with high satisfaction rates, intraoperative and postoperative complications can become a challenge for the surgical team. The aim of this article is to offer a synopsis of the most common complications arising after abdominoplasty, along with evidence-based guidelines about how to prevent and treat them.MethodsA systematic MEDLINE search strategy was designed using appropriate Medical Subject Headings (MeSH) terms, and references were scanned for further relevant articles.ResultsAccording to the published case series, local complications are considerably more common than complications with systemic repercussions. Approximately 10% to 20% of patients suffer a local complication following abdominoplasty, while fewer than 1% suffer a systemic complication. Prevention and management strategies are critically discussed for complications including seroma, haematoma, infection, skin necrosis, suture extrusions, hypertrophic scars, neurological symptoms, umbilical anomalies, deep venous thrombosis and pulmonary thromboembolism, respiratory distress, and death.ConclusionsThe complications of abdominoplasty vary in severity and in the impact they have on the aesthetic outcomes. Recommendations for prevention and management are based on various levels of evidence, with a risk of observer bias. However, most complications can be treated appropriately following the current standards, with satisfactory results.

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Section: Resultsmentioning

confidence: 99%