Journal of Plastic, Reconstructive & Aesthetic Surgery
Complications of 278 consecutive abdominoplasties☆
Section snippets
Methods
Using a proforma, data were collected retrospectively from the case notes of all patients undergoing abdominoplasty in the Wellington hospital over the five-year period of 1997–2001. Data were collected on patient demographics and co-morbidity, operative technique, complications and revision surgery.
General
Over the period studied, 278 patients underwent abdominoplasty. Two hundred and seventy-five (99%) were women. Median age was 46 years with a range of 19–72. Consultants were the principle surgeons in all cases.
Technical
Full abdominoplasties involved epigastric undermining and umbilicus repositioning, mini abdominoplasties involved neither. There were 206 full abdominoplasties (75%), 65 mini abdominoplasties (23%), six revision operations (2%) and one (0.3%) which involved vertical scar tightening (Fig.
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Cited by (161)
Endoscopic-Assisted Abdominoplasty
2023, Clinics in Plastic Surgery“Abdominal panniculectomy: Identifying complications and potential risk factors”
2022, Journal of Plastic, Reconstructive and Aesthetic SurgeryCitation Excerpt :Furthermore, patients who suffer from obesity are more likely to have other associated medical problems, including diabetes and tobacco use, which have also been linked to worse outcomes.5,6 Although obesity has been well-established as a significant risk factor for postoperative panniculectomy complications, findings for diabetes, hypertension (HTN), and smoking have remained inconsistent.7–10,11,12–15 The object of this study is to compare complications of performing a panniculectomy in patients with prior bariatric surgery to those without in one of the largest cohorts to date.
Health-related quality of life in patients having undergone abdominoplasty after massive weight loss
2021, Journal of Plastic, Reconstructive and Aesthetic SurgeryLipoabdominoplasty with Anatomic Definition: An Evolution on Saldanha's Technique
2020, Clinics in Plastic SurgeryCitation Excerpt :Local complications of traditional abdominoplasty include skin necrosis (1.5%–6.7%), seroma (5%–17.6%), cellulitis (2%–9.2%), dehiscence (7.2%–10.7%), hematoma (5.4%–5.8%), and revision rate (24.8%–46%).19–28 This is compared with LAP, where skin necrosis had 0% to 0.9%, seroma had 0.1% to 2%, cellulitis from 0.1% to 2.4%, dehiscence had 0.8% to 2.6%, hematoma had 0.8% to 5.8%, and revision rate had 5% to 10.7%.28–44 A systemic review published by Xia and colleagues40 proves the safety of LAP compared with traditional abdominoplasty, involving 14,061 patients with statistically fewer complications in the LAP group (relative risk, 0.85; 95% confidence interval, 0.74–0.97; P = .017).
Meta-analysis on the comparative efficacy of drains, progressive tension sutures and subscarpal fat preservation in reducing complications of abdominoplasty
2020, Journal of Plastic, Reconstructive and Aesthetic SurgeryCitation Excerpt :Traditionally, the use of drains was thought to reduce seroma rates through the constant removal of fluid. However, studies have reported that drains are associated with prolonged inpatient stay, additional risk of infection, and patient discomfort.8,13,21,22 The next progressive technique in abdominoplasty surgery was reported by Le Louarn in 1996, who advocated the preservation of deep lymphatic vessels through conservation of subscarpal fat.7
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The surviving authors would like to dedicate this paper to the memory of their deceased colleague Mr Brian Coghlan. He personified those assets of ability and affability most essential to surgical practice. His premature loss was a great loss to his family but also to our profession.
- 1
14 Queen Anne Street, London W1G 9LG, UK.
- 2
14A Upper Wimpole Street, London W1G 6LR, UK.
- 3
55 Harley Street, London W1G 6LR, UK.
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Deceased.