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Prevention and Management of Abdominoplasty Complications

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Abstract

Abdominoplasty is performed to shape the anterior and lateral abdominal walls. Different forms of contour deformity should be addressed with modifications and combinations of techniques. Either traditional abdominoplasty or high-lateral-tension abdominoplasty (HLTA) is usually combined with liposuction of the anterior abdominal wall and love handles giving satisfactory results most of the time. Although this combination covers a good percentage of patients complaining of lower abdominal sagging or bulging, some other techniques are also present such as mini abdominoplasty, fleur-de-lis abdominoplasty, and reverse abdominoplasty. Post bariatric patients need further ablative procedures such as dermolipectomy and belt lipectomy.

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References

  1. Winocour J, Gupta V, Ramirez JR, Shack RB, Grotting JC, Higdon KK. Abdominoplasty: risk factors, complication rates, and safety of combined procedures. Plast Reconstr Surg. 2015;136(5):597e–606. doi:10.1097/PRS.0000000000001700.

    Article  CAS  PubMed  Google Scholar 

  2. Amato MC, Pizzolanti G, Torregrossa V, Misiano G, Milano S, Giordano C. Visceral adiposity index (VAI) is predictive of an altered adipokine profile in patients with type 2 diabetes. PLoS One. 2014;9(3):e91969. doi:10.1371/journal.pone.0091969. eCollection 2014.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Suder A, Plonka M, Jagielski P, Piorecka B, Glodzik J. Physiological and environmental factors associated with central fat distribution in pubertal girls. J Physiol Pharmacol. 2015;66(3):463–70.

    CAS  PubMed  Google Scholar 

  4. Cardwell SM, Crandon JL, Nicolau DP, McClure MH, Nailor MD. Epidemiology and economics of adult patients hospitalized with urinary tract infections. Hosp Pract (1995). 2016;44(1):1–8.

    Article  Google Scholar 

  5. Campbell W, Pierson J, Cohen-Shohet R, Mast BA. Maximizing chemoprophylaxis against venous thromboembolism in abdominoplasty patients with the use of preoperative heparin administration. Ann Plast Surg. 2014;72(6):S94–6. doi:10.1097/SAP.0000000000000132.

    Article  CAS  PubMed  Google Scholar 

  6. Rogliani M, Silvi E, Labardi L, Maggiulli F, Cervelli V. Obese and nonobese patients: complications of abdominoplasty. Ann Plast Surg. 2006;57(3):336–8.

    Article  CAS  PubMed  Google Scholar 

  7. Rieger UM, Erba P, Wettstein R, Schumacher R, Schwenzer-Zimmerer K, Haug M, Pierer G, Kalbermatten DF. Does abdominoplasty with liposuction of the love handles yield a shorter scar? An analysis with abdominal 3D laser scanning. Ann Plast Surg. 2008;61(4):359–63. doi:10.1097/SAP.0b013e31816d824a.

    Article  CAS  PubMed  Google Scholar 

  8. Keaney TC, Tanzi E, Alster T. Comparison of 532 nm Potassium Titanyl Phosphate Laser and 595 nm pulsed dye laser in the treatment of erythematous surgical scars: a randomized, controlled, open-label study. Dermatol Surg. 2016;42(1):70–6. doi:10.1097/DSS.0000000000000582.

    Article  CAS  PubMed  Google Scholar 

  9. Swanson E. Comparison of limited and full dissection abdominoplasty using laser fluorescence imaging to evaluate perfusion of the abdominal skin. Plast Reconstr Surg. 2015;136(1):31e–43. doi:10.1097/PRS.0000000000001376.

    Article  CAS  PubMed  Google Scholar 

  10. Shestak KC. The extended abdominoplasty. Clin Plast Surg. 2014;41(4):705–13. doi:10.1016/j.cps.2014.07.001.

    Article  PubMed  Google Scholar 

  11. Swanson E. Prospective clinical study of 551 cases of liposuction and abdominoplasty performed individually and in combination. Plast Reconstr Surg Glob Open. 2013;1(5):e32. doi:10.1097/GOX.0b013e3182a333d7. eCollection 2013.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Valença-Filipe R, Martins A, Silva Á, Vásconez LO, Amarante J, Costa-Ferreira A. Dissection technique for abdominoplasty: a prospective study on scalpel versus diathermocoagulation (coagulation mode). Plast Reconstr Surg Glob Open. 2015;3(1):e299. doi:10.1097/GOX.0000000000000222. eCollection 2015.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Marsh DJ, Fox A, Grobbelaar AO, Chana JS. Abdominoplasty and seroma: a prospective randomised study comparing scalpel and handheld electrocautery dissection. J Plast Reconstr Aesthet Surg. 2015;68(2):192–6. doi:10.1016/j.bjps.2014.10.004. Epub 2014 Oct 13.

    Article  PubMed  Google Scholar 

  14. Epstein S, Epstein MA, Gutowski KA. Lipoabdominoplasty without drains or progressive tension sutures: an analysis of 100 consecutive patients. Aesthet Surg J. 2015;35(4):434–40. doi:10.1093/asj/sju049.

    Article  PubMed  Google Scholar 

  15. Quaba AA, Conlin S, Quaba O. The no-drain, no-quilt abdominoplasty: a single-surgeon series of 271 patients. Plast Reconstr Surg. 2015;135(3):751–60. doi:10.1097/PRS.0000000000001031.

    Article  CAS  PubMed  Google Scholar 

  16. Friedman T, Coon D, Kanbour-Shakir A, Michaels J, Rubin JP. Defining the lymphatic system of the anterior abdominal wall: an anatomical study. Plast Reconstr Surg. 2015;135(4):1027–32. doi:10.1097/PRS.0000000000001136.

    Article  CAS  PubMed  Google Scholar 

  17. Horch RE. Incisional negative pressure wound therapy for high-risk wounds. J Wound Care. 2015;24(4 Suppl):21–8. doi:10.12968/jowc.2015.24.Sup4b.21.

    Article  PubMed  Google Scholar 

  18. Seruya M, Venturi ML, lorio ML, Davison SP. Efficacy and safety of venous thromboembolism prophylaxis in highest risk plastic surgery patients. Plast Reconstr Surg. 2008;122:1702–8.

    Google Scholar 

  19. Massenburg BB, Sanati-Mehrizy P, Jablonka EM, Taub PJ. Risk factors for readmission and adverse outcomes in abdominoplasty. Plast Reconstr Surg. 2015;136(5):968–77. doi:10.1097/PRS.0000000000001680.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Lina Triana .

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Baghaki, S., Triana, L. (2017). Prevention and Management of Abdominoplasty Complications. In: Tiryaki, K. (eds) Inverse Abdominoplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-39310-0_10

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  • DOI: https://doi.org/10.1007/978-3-319-39310-0_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-39308-7

  • Online ISBN: 978-3-319-39310-0

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