Outpatient extended abdominoplasty in the patient with massive weight loss

Barone, Constance M.; Okoro, Stanley A.; Chatter-Cora, Deowall; Helling, Eric R.

doi:10.1016/j.asj.2006.12.015

Cited by 7 publications

(3 citation statements)

References 15 publications

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“…The long duration of operative time, complex anesthesia management, prolonged postoperative convalescence, and high rates of major and minor complications (24%-78%) associated with inpatient management justifiably delayed consideration of these procedures for outpatient care. 1-25…”

Section: Introductionmentioning

confidence: 99%

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An Enhanced Recovery After Surgery (ERAS) Protocol for Outpatient BodyLift Surgery

Nuveen

Matthesen²,

Cox

et al. 2020

Am J Cosmet Surg

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The concept of enhanced recovery after surgery (ERAS) was developed in 2001 in order to create a multimodal, scientifically based approach to the development and audit of protocols for improving outcomes after surgical procedures. These protocols undergo constant evolution and evaluation toward the goal of quality of recovery. The BodyLift (BL) is the procedure that most comprehensively addresses the cosmetic needs of patients after massive weight loss (MWL). In the course of performing 136 consecutive outpatient BL surgeries over 7 years, we have developed a management protocol that has provided consistently high patient satisfaction, minimized frequent complications, and has documented 100% safety in all cases performed without deep vein thrombosis (DVT), transfusion and with 1 postoperative hospital admission. Each evidence-based component in the protocol was instituted to reduce risk of complications known to be most commonly associated with circumferential body contouring surgery. ERAS protocols are now widely used in many other surgical subspecialties. These protocols have the common goal of returning the patient to normal function as expeditiously as possible and are associated with decreased complications as well as shorter length-of-stay (LOS) and reduced costs. We have enumerated the many components of our protocol and aligned each with elements of an ERAS paradigm. In our retrospective review of 7 years of BL surgery (n = 136), this protocol has reduced both major and minor complications to previously unpublished levels. Our independently formulated ERAS protocol for outpatient BL surgery aligns closely with the ERAS concept, limiting surgical stress, thus reducing complications and affording a smooth and predictable perioperative experience. This is of importance for elective cosmetic surgery patients, who often have high expectations for an uneventful recovery and are unaccepting of potentially out-of-pocket costs associated with complications.

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Section: Introductionmentioning

confidence: 99%

“…Recently, BL surgery has shown to be safe as an outpatient procedure in properly selected patients. 5-7 Most patients report a lack of insurance reimbursement for body contouring procedures. Cost containment may therefore be paramount in patient’s consideration for elective surgical management after weight loss.…”

Section: Introductionmentioning

confidence: 99%

An Enhanced Recovery After Surgery (ERAS) Protocol for Outpatient BodyLift Surgery

Nuveen

Matthesen²,

Cox

et al. 2020

Am J Cosmet Surg

View full text Add to dashboard Cite

show abstract

“…However, little emphasis has been made on the technical details of this procedure and its applications have not been made clear. Besides, in previous publications the posterior incision was placed high in the waistline [11][12][13][14]. This breaks the aesthetic unit principle and makes this component of the scar unacceptable to most patients [15].…”

mentioning

confidence: 99%