Learning Objectives: After studying this article, the participant should be able to: 1. Understand the reasoning behind obtaining a thorough medical history from abdominoplasty patients and determine how that information (e.g., history of massive weight loss, prior operations with abdominal scars) may affect the surgical plan. 2. Understand the thromboembolic risks associated with abdominoplasty patients, especially when abdominoplasty is performed in conjunction with other surgical procedures, and appropriate and currently accepted prophylaxis. 3. Describe the indications and potential risks of performing liposuction as an adjunct to abdominoplasty. 4. Evaluate a patient's abdomen, taking into consideration all the aesthetic subunits of the trunk and lower body, and determine the appropriate type of abdominoplasty indicated. 5. Identify and understand the treatment of early and late complications associated with abdominoplasty.
Summary: In this article, the authors review the preoperative assessment, surgical treatment plan, and outcomes of abdominoplasty. Preoperative assessment emphasizes obtaining an accurate and detailed medical history, conducting a thorough physical examination, and determining suitable and safe anesthetic options in appropriate surgical facilities. Preoperative planning stresses measures taken to minimize perioperative complications, and intraoperative planning reviews the various surgical techniques. Postoperative complications and their treatments are discussed, as well as the safety of combining abdominoplasty with other procedures. Current procedural terminology is also reported, since there have been recent changes to those codes commonly used in abdominoplasty.
The Maintenance of Certification module series is designed to help the clinician structure his or her study in specific areas appropriate to his or her clinical practice. This article is prepared to accompany practice-based assessment of preoperative assessment, anesthesia, surgical treatment plan, perioperative management, and outcomes. In this format, the clinician is invited to compare his or her methods of patient assessment and treatment, outcomes, and complications with authoritative, information-based references.
This information base is then used for self-assessment and benchmarking in parts II and IV of the Maintenance of Certification process of the American Board of Plastic Surgery. This article is not intended to be an exhaustive treatise on the subject. Rather, it is designed to serve as a reference point for further in-depth study by review of the reference articles presented.
From the Mayo Clinic College of Medicine.
Received for publication October 5, 2006; accepted March 22, 2007.
Jack A. Friedland, M.D.; Mayo Medical School; Plastic Surgery, Suite 103; 7425 East Shea Boulevard; Scottsdale, Ariz. 85260; firstname.lastname@example.org
Disclosure: The authors hereby acknowledge that they have no commercial or financial associations that may pose a conflict of interest.
The test for the MOC-PS–aligned CME article “Abdominoplasty” by Friedland and Maffi is available at http://www1.plasticsurgery.org/ebusiness4/OnlineCourse/CourseInfo.aspx?Id_14920.