The Role of Antibiotic Prophylaxis in Abdominoplasty: A Review of the Infection Rate in 300 Cases Treated without Prophylaxis

Casaer, B; Tan, Ek Khoon; Depoorter, M.

doi:10.1097/prs.0b013e31819056b6

Cited by 15 publications

(3 citation statements)

References 2 publications

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“…They reported that a single-dose strategy reduced the infection rate from 13% to 4%, with no added benefit shown in the preoperative and postoperative prophylaxis group (Level of Evidence: Therapeutic, III [ 33 ]). Casaer et al [ 34 ] reported an 8% infection rate in a 300-patient case series with no antibiotic prophylaxis at all (Level of Evidence: Therapeutic, IV).…”

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%

Managing Complications in Abdominoplasty: A Literature Review

2017

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“…Diversos autores mantêm antibioticoprofilaxia por 48 h pós-operatórias ou mais, conforme sua experiência. Esta deve ser, portanto, realizada de acordo com a experiência do cirurgião e protocolos hospitalares específicos das instituições nas quais o mesmo realiza seus procedimentos cirúrgicos 18 .…”

Section: Infecçãounclassified

Complicações em abdominoplastia

Gemperli¹,

Mendes²

2019

Revista Brasileira De Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery

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Abdominoplastia configura entre os procedimentos mais realizados em Cirurgia Plástica Estética e Reparadora. Embora seja um procedimento considerado seguro não é isento de complicações, sejam elas locais (seroma, hematoma, necrose, infecção, assimetrias) ou sistêmicas (doença tromboembólica, insuficiência respiratória). Neste artigo foram revisadas e detalhadas as principais complicações em abdominoplastias, com ênfase na frequência de ocorrência, apresentação clínica, fatores de risco, prevenção e tratamento.

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“…Während Sevin et al eine Single-shot-Antibiose für alle Patienten zur Bauchdeckenstraffung empfehlen (Evidenzlevel II, [13]), berichtet Casaer über geringe Infektionsraten ohne Antibiotikaprophylaxe (Evidenzlevel IV, [4]). …”

Section: Operationsvorbereitungenunclassified

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Df¹,

Stoff²

2011

Chirurg

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Indications for most forms of abdominoplasty are slight weight fluctuations or pregnancy. The steadily increasing number of patients with greater weight loss as well as the growing number of bariatric operations subsequently leads to a significant increase in body contouring procedures and places new challenges on plastic surgeons. After major weight loss patients present with extremely variable deformities in the lower and upper trunk as well as the extremities, which have to be treated individually with an appropriate procedure. The restoration of the lower trunk presents the first stage of the entire reconstruction process. The various modifications of abdominoplasty procedures with their various incision patterns and scar courses and the circumferential lower trunk dermatolipectomy represent advanced operations for every individual case. Plastic surgeons should be fully aware of differences and indications of every available procedure in the area of the lower trunk and should have the ability to offer the entire repertory for each individual deformity. A high postoperative patient satisfaction results from a customized procedure selection, the optimal implementation with a correspondingly low rate of complications and above-average patient care.

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The Role of Antibiotic Prophylaxis in Abdominoplasty: A Review of the Infection Rate in 300 Cases Treated without Prophylaxis

Cited by 15 publications

References 2 publications

Managing Complications in Abdominoplasty: A Literature Review

Managing Complications in Abdominoplasty: A Literature Review

Complicações em abdominoplastia

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