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Improving Safety after Abdominoplasty: A Retrospective Review of 1128 Cases

Dutot, Marie-Charlotte, M.D.; Serror, Kevin, M.D.; Al Ameri, Omar, M.D.; Chaouat, Marc, Ph.D.; Mimoun, Maurice, Ph.D.; Boccara, David, M.D.

Plastic and Reconstructive Surgery: August 2018 - Volume 142 - Issue 2 - p 355–362
doi: 10.1097/PRS.0000000000004572
Cosmetic: Original Articles
Video Discussion
Patient Safety CME
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Background: Over the course of several decades, abdominoplasty has undergone numerous improvements, thereby improving patient safety. The choice of the site of the incision and the extent of the detachment directly influence the occurrence of the main complications.

Methods: A retrospective study was carried out involving 1128 patients who underwent abdominoplasty between January of 1990 and June of 2014. The main postoperative complications were analyzed.

Results: The hematoma rate was 5.7 percent; in addition, infections (4.5 percent), cutaneous necrosis (2.7 percent), seromas (2.7 percent), disunions (1.3 percent), and deep venous thrombosis (0.2 percent) were observed. Three main risk factors for complications were highlighted: age older than 40 years, obesity, and smoking. The authors noted a significant variation in the rate of complications depending on the technique used, with a substantial rate of necrosis in case of inverted-T abdominoplasty. Liposuction was not a source of complications, regardless of the patient’s background or the type of intervention.

Conclusions: Abdominoplasty is currently a reliable technique that allows the abdomen to be repaired and quality of life to be restored. Other means remain to be explored to improve the overall treatment and to move toward a maximal reduction of the risks.

CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

Video Discussion by David Sieber, M.D., is Available Online for This Article.Patient Safety CME.

Paris, France

From Hôpital Saint-Louis.

Received for publication June 18, 2017; accepted February 2, 2018.

Disclosure: The authors have no financial interest to declare in relation to the content of this article. No funding was received.

By reading this article, you are entitled to claim one (1) hour of Category 2 Patient Safety Credit. ASPS members can claim this credit by logging in to PlasticSurgery.org Dashboard, clicking “Submit CME,” and completing the form.

A Video Discussion by David Sieber, M.D., accompanies this article. Go to PRSJournal.com and click on “Video Discussions” in the “Digital Media” tab to watch.

Marie-Charlotte Dutot, M.D., Hôpital Saint Louis, 1 avenue Claude Vellefaux, 75010 Paris, France, mc.dutot@hotmail.fr

©2018American Society of Plastic Surgeons