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Complications in Abdominoplasty. Case review.

Case No. 2

2 weeks later...

1st day post op. - umbilical necrosis

Case No. 2

37 y.o. female patient underwent abdominoplasty (2014)

Minor (32 %):

  • seromas and haematomas not requiring intervention (15 % and 3 %),

  • stitch abscess (5 %),

  • fat necrosis (2,5 %),

  • wound dehiscence (3 %),

  • umbilical necrosis (0,2 %),

  • hypertrophic scarring (8 %).

Risk factors

  • Morbid obesity (body mass index > 40),

  • Smoking,

  • Hypertension,

  • Diabetes,

  • Gender (Male sex) .

Momeni A. et al. Complications in abdominoplasty: a risk factor analysis. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2009.

Complications

Keith C. Outcomes of Traditional Cosmetic Abdominoplasty in a Community Setting: A Retrospective Analysis of 1008 Patients. Plastic and Reconstructive Surgery. 2013.

Major (18 %):

  • seromas requiring aspiration,

  • haematomas requiring evacuation,

  • deep venous thrombosis/pulmonary embolism,

  • infections requiring antibiotics.

by senior resident of plastic and reconstructive surgery

Justina Vaičiulėnaitė

2017

Prevention

Quilting sutures

Case No.1

M. D. Martino et al. Seroma in Lipoabdominoplasty and Abdominoplasty: A Comparative Study Using Ultrasound, Plast Reconstr Surg. 2010 Nov;126(5):1742-51.

Case No.1

63 x 17 mm (200 ml) fluid collection in hypogastric region.

Case No.1

30 ml fluid collection in umbilical region.

Case No. 3

Keith C. Outcomes of Traditional Cosmetic Abdominoplasty in a Community Setting: A Retrospective Analysis of 1008 Patients. Plastic and Reconstructive Surgery. 2013.

6 months later...

Case No. 3

A week post op. - marginal necrosis

53 y.o. female patient underwent free MS-TRAM flap breast reconstruction (2015).

Postoperatively - abdominal wall ultrasound.

Conclusions

3 weeks later

Case No. 4

Abdominoplasty

A week later

2 weeks post op.

  • Fever up to 39.3 °C
  • Pain
  • Excessive wound liquid drainage

Complications in abdominoplasty are rare.

Some minor complications can be solved with no intervention.

Some cases can be demanding and take time to be cured.

49 y.o. patient underwent free MS-TRAM flap for breast reconstruction.

Is one of the most commonly performed cosmetic operative procedures.

Clasiffied as:

  • mini,
  • modified or
  • full abdominoplasty.

46 y.o. patient underwent abdominoplasty (2015).

Risk factors:

  • smoking,
  • 2 Caesarean sections.

After operation skin and fat necrosis occured.

Matarasso A. Abdominolipoplasty: A system of classification and treatment for combined abdominoplasty and suctionassisted lipectomy. Aesthetic Plast Surg. 1991;15:111–121.

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