Acute Abdomen After Abdominoplasty: Differential Diagnosis

Freitas, Renato da Silva; Ascenço, Adriana Sayuri Kurogi; Maluf, Ivan

doi:10.1007/978-3-319-20004-0_35

Cited by 2 publications

(5 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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: Haematomamentioning

confidence: 99%

Managing Complications in Abdominoplasty: A Literature Review

2017

View full text Add to dashboard Cite

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.

show abstract

Section: Haematomamentioning

confidence: 99%

Managing Complications in Abdominoplasty: A Literature Review

2017

View full text Add to dashboard Cite

show abstract

“…In patients presenting with acute pain, other causes of abdominal discomfort should be considered before making a presumptive diagnosis of seroma or hematoma formation. 78 Consultation with the surgical team is recommended to decide whether surgical drainage, needle aspiration, or close outpatient follow-up is appropriate. In hemodynamically unstable patients with evidence of hematoma, further investigation via ultrasound or CT angiography is necessary to search for bleeding sources including intraperitoneal foci.…”

Section: Surgical Site Collectionsmentioning

confidence: 99%

“…In hemodynamically unstable patients with evidence of hematoma, further investigation via ultrasound or CT angiography is necessary to search for bleeding sources including intraperitoneal foci. 78,79…”

Section: Surgical Site Collectionsmentioning

confidence: 99%

“…58 Patients may present subtly, with pain out of proportion to postoperative course, or in shock. 78 Perforation may extend to surrounding lymphatic, vascular, and intra-abdominal structures, or may occur far from the original surgical site, as in the case of patients with severe chest pain and dyspnea, possibly indicating perforation into the thorax. 78,103 In the ED, patients with severe abdominal pain after cosmetic surgery should be assessed carefully for visceral perforation.…”

Section: Visceral Perforationmentioning

confidence: 99%

“…78 Perforation may extend to surrounding lymphatic, vascular, and intra-abdominal structures, or may occur far from the original surgical site, as in the case of patients with severe chest pain and dyspnea, possibly indicating perforation into the thorax. 78,103 In the ED, patients with severe abdominal pain after cosmetic surgery should be assessed carefully for visceral perforation. While diagnosis of peritonitis is primarily clinical, plain radiographs of the abdomen or chest in upright position and CT may be useful adjuncts in confirming diagnosis.…”

Section: Visceral Perforationmentioning

confidence: 99%

See 2 more Smart Citations

Plastic Surgery Complications: A Review for Emergency Clinicians

Montrief

Bornstein

Ramzy

et al. 2020

WestJEM

View full text Add to dashboard Cite

The number of aesthetic surgical procedures performed in the United States is increasing rapidly. Over 1.5 million surgical procedures and over three million nonsurgical procedures were performed in 2015 alone. Of these, the most common procedures included surgeries of the breast and abdominal wall, specifically implants, liposuction, and subcutaneous injections. Emergency clinicians may be tasked with the management of postoperative complications of cosmetic surgeries including postoperative infections, thromboembolic events, skin necrosis, hemorrhage, pulmonary edema, fat embolism syndrome, bowel cavity perforation, intra-abdominal injury, local seroma formation, and local anesthetic systemic toxicity. This review provides several guiding principles for management of acute complications. Understanding these complications and approach to their management is essential to optimizing patient care. [West J Emerg Med. 2020;21(6)179-189.] aware of possible complications. METHODS This review focuses on the complications of the most common surgical procedures including liposuction, breast augmentation, abdominoplasty, and subcutaneous injections. We describe the expected presentations, evaluation, and emergent care required to manage post-cosmetic surgery complications. We performed a literature search of Medline,

show abstract

Acute Abdomen After Abdominoplasty: Differential Diagnosis

Cited by 2 publications

References 15 publications

Managing Complications in Abdominoplasty: A Literature Review

Managing Complications in Abdominoplasty: A Literature Review

Plastic Surgery Complications: A Review for Emergency Clinicians

Contact Info

Product

Resources

About