Analysis of Complications From Abdominoplasty

Neaman, Keith C.; Hansen, Juliana E.

doi:10.1097/01.sap.0000239806.43438.54

Cited by 213 publications

(53 citation statements)

References 21 publications

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“…Greco et al [19] experienced a seroma rate more than triplicated. It even nearly reached a percentage of 30% in the studies performed by Larsen et al [57] and Neaman et al [13]. As far as hematoma is concerned, our survey revealed a rate of 4.7%, whereas in the abovementioned researches it was almost duplicated.…”

Section: Discussioncontrasting

confidence: 58%

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Wound Healing Process in Post-bariatric Patients: an Experimental Evaluation

et al. 2010

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Bariatric surgery is the most effective treatment for morbid obesity. Despite this, side effects are recorded. One of them is redundant skin hanging from the patients' body causing both aesthetical and functional deformities. They can only be corrected with body contouring surgery, whose wound complication rate is very high in previously obese population. Despite several hypotheses, an adequate explanation is still awaited. The aim of our study was to evaluate the wound healing process in post-bariatric patients. Seven patients, six women and one man, were enrolled. They all were nonsmokers and nondiabetic. They all underwent biliopancreatic diversion (BPD). After 36 months, abdominoplasty was performed. Biochemical parameters before and after bariatric surgery were evaluated. The content of total protein and hydroxyproline was assessed in multiple scar biopsies before and after BPD. Abdominoplasty horizontal scar skin samples were subjected to histological evaluation with Weigert-Van Gieson stain for elastic fibers and connectivum. All biochemical parameters analyzed were reduced post-BPD compared to the preoperative period. Tissue proteins were significantly reduced after BPD both in their totality and as hydroxyproline and hydroxyproline/total tissue protein. Histological evaluation revealed abnormal dermal elastic and collagen fibers. The cause of aberrant healing in massive weight loss body contouring is likely multifactorial. A relationship between nutritional state, wound collagen accumulation, and elastic fiber content seems to be only partially involved. The high mechanical stress of tissues before BPD probably influences the wound healing process after BPD.

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Section: Discussioncontrasting

confidence: 58%

“…The complications recorded after plastic surgery techniques include wound healing problems, which are more likely to be developed by obese patients [13]. Complication rates quoted in the literature are high in the formerly obese population, with wound complication ranging from 30% to 80% [14][15][16][17][18].…”

mentioning

confidence: 99%

Wound Healing Process in Post-bariatric Patients: an Experimental Evaluation

et al. 2010

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“…demuestran una correlación estadísticamente significativa entre el tamaño del faldón abdominal o tener un IMC mayor de 39 kg/m 2 con las complicaciones de la herida 9,10 . Por otro lado, se producen alteraciones hidroelectrolíticas y pérdidas sanguíneas que incrementan las necesidades de transfusión, y hay descritos casos de muerte por tromboembolismo, sepsis o infarto agudo de miocardio 3 .…”

Section: Figura 4 -Resultado Posoperatorio a Los 6 Meses De La Panicuunclassified

Paniculectomía masiva en lipodistrofia abdominal gigante: cuando el beneficio supera los riesgos

Vico¹,

Sanz²,

Ruiz³

et al. 2017

Rev Hispanoam Hernia

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Describimos un caso de paniculectomía masiva en paciente con lipodistrofia abdominal severa. La mayor hasta la fecha realizada en nuestro servicio.Caso clínico: Varón de 79 años con un IMC de 45.9 kg/m 2 que presentaba un faldón abdominal severo que llegaba a la altura de las rodillas con importante afectación cutánea (intertrigo, edema, úlceras) y limitación funcional. Se llevó a cabo paniculectomía masiva conservadora con resección de 20 kg de tejido abdominal. Presentó una complicación mayor por hematoma que requirió revisión quirúrgica y complicaciones menores relacionadas con la herida que se resolvieron satisfactoriamente.Discusión: La paniculectomía masiva supone una mejoría funcional significativa y una mayor calidad de vida en los pacientes con lipodistrofia abdominal. Sin embargo, la tasa de complicaciones es elevada y se requiere una correcta planificación, ejecución quirúrgica y manejo perioperatorio para optimizar los resultados.Conclusión: La paniculectomía se presenta como la única opción viable, no exenta de complicaciones, para la reducción del faldón abdominal en casos severos de obesidad mórbida o tras pérdidas masivas de peso.

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“…[9] In addition to the general symptoms as mentioned earlier, the most important abdominoplasty complications include bleeding, seroma, infection, skin necrosis, thromboembolism, and fat embolism. [10] According to the published documents by the American Society of Plastic Surgeons in 2004, the American Society of Plastic Surgeons documents, published in 2004, during the past 7 years, the number of abdominoplasty cases has been raised about 344%. [1112] A comparison of the high lateral tension abdominoplasty which is listed in literature as an acceptable method[13] and new method, it seems the patients were less scarring and reduced complications, shorten the operation time and prevented the emergence of the dog ears.…”

Section: Introductionmentioning

confidence: 99%

Classic high lateral tension and triangular resection methods to prevent dog ear and elongation scar in patients undergoing abdominoplasty: A comparative open-label clinical trial

et al. 2017

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Background:One of the most common operations in the plastic surgery curse is abdominoplasty. Several methods were recommended for achieving better results. In the present study, efficacy of a new method compared with classical high lateral tension on preventing dog ear and elongation scar was evaluated.Materials and Methods:in an open-label, randomized clinical trial, seventy patients who were candidates for abdominoplasty were selected and randomly divided into two groups. The first group was operated by classic high lateral method and the second group was operated by a new method concentrating on changing incision line and angle. Dog ear prevention, length of scar, improvement, and postoperative complications were compared between the two groups.Results:The mean ± standard deviation (SD) length of scar in treated patients with classical and new abdominoplasty surgical methods was 53.68 ± 6.34 and 41.71 ± 1.78 cm, respectively, and the length of scar in the group treated with the new method was significantly shorter (P < 0.001). The mean ± SD distance between two anterior superior iliac spine in group treated by new method was significantly decreased after surgery (31.3 ± 1.3 cm) compared to before intervention (36.7 ± 3.9 cm) (P < 0.01).Conclusion:The new method is more likely to be successful in patients with high lateral tension abdominoplasty. However, according to the lack of similar studies in this regard and the fact that this method was introduced for the first time, it is recommended that further studies in this area are needed and patients in term of complications after surgery need a longer period of follow-up.

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Analysis of Complications From Abdominoplasty

Cited by 213 publications

References 21 publications

Wound Healing Process in Post-bariatric Patients: an Experimental Evaluation

Wound Healing Process in Post-bariatric Patients: an Experimental Evaluation

Paniculectomía masiva en lipodistrofia abdominal gigante: cuando el beneficio supera los riesgos

Classic high lateral tension and triangular resection methods to prevent dog ear and elongation scar in patients undergoing abdominoplasty: A comparative open-label clinical trial

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