Medial Thighplasty After Massive Weight Loss: Are There Any Risk Factors for Postoperative Complications?

Bertheuil, Nicolas; Thienot, Sophie; Huguier, V.; Ménard, Cédric; Watier, Éric

doi:10.1007/s00266-013-0245-7

Cited by 30 publications

(12 citation statements)

References 31 publications

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“…The most common complication observed in our review was wound dehiscence. Also, Bertheuil[ 18 ] in a retrospective case series found wound dehiscence as the most frequent complication with a very similar complication rate (39.6% of the patients experienced at least one complication).…”

Section: Discussionmentioning

confidence: 87%

“…Pooling the data, complications were observed in 191/447 patients (42.72%). The most frequent complications were: wound dehiscence (82/447 patients, 18.34%)[ 5 6 8 9 10 12 17 18 19 ] seroma (36/447 patients, 8.05%),[ 5 6 9 13 18 ] wound infection (21/447, 4.96%)[ 6 11 15 18 ] hypertrophic scarring (11/447 patients, 2.4%),[ 7 8 9 10 15 ] and scar migration (16/447 patients, 3.57%). [ 7 10 16 18 ] Rare complications were partial skin necrosis (one patient)[ 18 ] and lymph fistula (one patient).…”

Section: Resultsmentioning

confidence: 99%

“…High BMI before massive weight loss and before medial thighplasty were associated with a higher risk of developing a postoperative complication. [ 18 ]…”

Section: Discussionmentioning

confidence: 99%

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Complications associated with medial thigh lift: A comprehensive literature review

Sisti

Cuomo

Zerini

et al. 2015

J Cutan Aesthet Surg

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Medial contouring of the thigh is frequently requested to improve appearance and function of medial thigh deformities, following massive weight loss or aging process. This surgical procedure can be associated with a significant rate of complications. Our aim was to consider the complications and outcomes according to the performed technique, through a wide and comprehensive review of the literature. A search on PubMed/Medline was performed using “medial thighplasty”, “medial thigh lifting” and “technique” as key words. As inclusion criteria, we selected the clinical studies describing techniques of medial thighplasty. We excluded the papers in which complications related to medial thighplasty were not specified. We also excluded literature-review articles. We found 16 studies from 1988 to 2015. Overall, 447 patients were treated. Different techniques were applied. Complications were observed in 191/447 patients (42.72%). The most frequent complications were wound dehiscence(18.34%) and seroma (8.05%). No major complications, such as thromboembolism and sepsis, were observed. Minor complications occurred in a high percent of patients, regardless of the performed surgical procedure. Patients should be informed about the possible occurrence of wound dehiscence and seroma, as common complications associated with this surgical procedure.

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Section: Discussionmentioning

confidence: 87%

Section: Resultsmentioning

confidence: 99%

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Complications associated with medial thigh lift: A comprehensive literature review

Sisti

Cuomo

Zerini

et al. 2015

J Cutan Aesthet Surg

View full text Add to dashboard Cite

show abstract

“…In the literature, the complication rate after elective horizontal medial thigh lift in massive weight loss patients accounts for 39.6–49%, although most of these complications are minor and can be managed conservatively . Interestingly, in our non‐elective series, only four patients (40%) had to be revised because of local signs of infection, haematoma or wound dehiscence.…”

Section: Discussionmentioning

confidence: 74%

The versatility of the medial thigh lift for defect coverage in the genito‐perineal region

Djedovic

Frari

Matiasek

et al. 2016

International Wound Journal

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Soft tissue defects in the genito-perineal region are predominantly because of trauma, infections, neoplasms or iatrogenic causes. As a result of the region's urological, reproductive and gastrointestinal function, defects in this area may cause devastating physical and psychological consequences as well as diminished sexual functioning. The purpose of this study was to examine the efficacy of implementing a medial thigh lift for defect coverage in the perineal region. A retrospective analysis of all medial thigh lift procedures for defect coverage in the genito-perineal region between November 2010 and March 2015 was conducted at three institutions. Ten consecutive patients underwent a medial thigh lift for defect coverage in the genito-perineal region. Nine patients were male, and one was female. The causative factors were Fournier's gangrene in eight patients, one patient had a straddle injury, and one suffered from extramammary Paget's disease. The mean follow-up time was 19·8 months. The average total defect size was 11·1 × 11 cm (length × width). The medial thigh lift procedure is a safe, technically easy and reliable technique with discrete scars. Outstanding aesthetic and functional outcomes result in a high rate of patient satisfaction. Through immediate wound closure, a reduction of recovery time can be achieved.

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“…15 It is widely held, however, that obesity is an independent risk factor for local wound healing complications and systemic morbidity. [16][17][18] …”

Section: Interpretation Of the Literature Origins Of Combined Abdominmentioning

confidence: 98%

Combined Breast Surgery and Abdominoplasty

Matarasso

Smith

2015

Plastic and Reconstructive Surgery

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Abdominoplasty and breast surgery are frequently appealing to patients as combined procedures. The practice of combining abdominoplasty with other procedures originates from abdominoplasty performed in conjunction with intraabdominal or gynecologic surgery. Initially, the focus of combined surgery was on ensuring safety and minimizing local (e.g., wound healing) complications. As surgeons began combining abdominoplasty with distant procedures such as breast surgery, because the individual procedures have little adverse impact on one another and are not altered because of the combination, concerns with systemic morbidity surpassed the initial focus on avoiding local complications. Prevention of venous thromboembolism became a paramount concern. The authors perform abdominoplasty in conjunction with other procedures more frequently than in isolation, reflecting broader societal demand. Indeed, because of the effects of pregnancy and aging, abdominoplasty is being performed in conjunction with breast surgery with frequency sufficient to have driven the term "mommy makeover" into mainstream parlance. Consideration regarding length of surgery and the other recommendations in this report allows for the safe and successful execution of this common combination.

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Medial Thighplasty After Massive Weight Loss: Are There Any Risk Factors for Postoperative Complications?

Cited by 30 publications

References 31 publications

Complications associated with medial thigh lift: A comprehensive literature review

Complications associated with medial thigh lift: A comprehensive literature review

The versatility of the medial thigh lift for defect coverage in the genito‐perineal region

Combined Breast Surgery and Abdominoplasty

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