Analysis of Complications From Abdominoplasty: A Review of 206 Cases at a University Hospital : Annals of Plastic Surgery

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Analysis of Complications From Abdominoplasty

A Review of 206 Cases at a University Hospital

Neaman, Keith C. BS; Hansen, Juliana E. MD

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Annals of Plastic Surgery 58(3):p 292-298, March 2007. | DOI: 10.1097/

The number of abdominoplasties performed in the United States has been steadily increasing over the past decade. A large proportion of these patients are bariatric patients who remain obese despite prior weight-reduction surgery. This study was done to review the experience of patients undergoing abdominoplasty at a university hospital. A retrospective chart review of 206 consecutive patients was performed. The overall complication rate was 37.4%. Major complications [hematoma requiring surgical intervention, seroma requiring aspiration or surgical drainage, cellulitis or abscess requiring hospitalization and intravenous (IV) antibiotics, deep vein thrombosis (DVT), and pulmonary embolism (PE)] occurred in 16% of patients. The rate of minor complications (hematoma or seroma requiring no intervention, epidermolysis, small-wound dehiscence, neuropathic pain, and minor cellulitis) was 26.7%. Obese patients had a significantly increased risk of developing major complications as compared with nonobese patients (53.4% versus 28.8%, P = 0.001). An in-depth analysis of all complications and risk factors was done.

© 2007 Lippincott Williams & Wilkins, Inc.

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