Cargando…

Minimising complications in abdominoplasty: An approach based on the root cause analysis and focused preventive steps

Significant complications still occur after abdominoplasty, the rate varies widely in different series. This variation suggests that there is a lot of scope for improvement. This paper reviews the various complications and also the technical improvements reported in the last 20 years. The root cause...

Descripción completa

Detalles Bibliográficos
Autor principal: Rangaswamy, Mohan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publication & Media Pvt Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3901918/
https://www.ncbi.nlm.nih.gov/pubmed/24501473
http://dx.doi.org/10.4103/0970-0358.118615
_version_ 1782300925757489152
author Rangaswamy, Mohan
author_facet Rangaswamy, Mohan
author_sort Rangaswamy, Mohan
collection PubMed
description Significant complications still occur after abdominoplasty, the rate varies widely in different series. This variation suggests that there is a lot of scope for improvement. This paper reviews the various complications and also the technical improvements reported in the last 20 years. The root cause of each complication is analysed and preventive steps are suggested based on the literature and the author's own personal series with very low complication rates. Proper case selection, risk stratified prophylaxis of thromboembolism, initial synchronous liposuction, flap elevation at the Scarpa fascia level, discontinuous incremental flap dissection, vascular preservation and obliteration of the sub-flap space by multiple sutures emerge as the strongest preventive factors. It is proposed that most of the complications of abdominoplasty are preventable and that it is possible to greatly enhance the aesthetic and safety profile of this surgery.
format Online
Article
Text
id pubmed-3901918
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher Medknow Publication & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-39019182014-02-05 Minimising complications in abdominoplasty: An approach based on the root cause analysis and focused preventive steps Rangaswamy, Mohan Indian J Plast Surg Review Article Significant complications still occur after abdominoplasty, the rate varies widely in different series. This variation suggests that there is a lot of scope for improvement. This paper reviews the various complications and also the technical improvements reported in the last 20 years. The root cause of each complication is analysed and preventive steps are suggested based on the literature and the author's own personal series with very low complication rates. Proper case selection, risk stratified prophylaxis of thromboembolism, initial synchronous liposuction, flap elevation at the Scarpa fascia level, discontinuous incremental flap dissection, vascular preservation and obliteration of the sub-flap space by multiple sutures emerge as the strongest preventive factors. It is proposed that most of the complications of abdominoplasty are preventable and that it is possible to greatly enhance the aesthetic and safety profile of this surgery. Medknow Publication & Media Pvt Ltd 2013 /pmc/articles/PMC3901918/ /pubmed/24501473 http://dx.doi.org/10.4103/0970-0358.118615 Text en Copyright: © Indian Journal of Plastic Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Rangaswamy, Mohan
Minimising complications in abdominoplasty: An approach based on the root cause analysis and focused preventive steps
title Minimising complications in abdominoplasty: An approach based on the root cause analysis and focused preventive steps
title_full Minimising complications in abdominoplasty: An approach based on the root cause analysis and focused preventive steps
title_fullStr Minimising complications in abdominoplasty: An approach based on the root cause analysis and focused preventive steps
title_full_unstemmed Minimising complications in abdominoplasty: An approach based on the root cause analysis and focused preventive steps
title_short Minimising complications in abdominoplasty: An approach based on the root cause analysis and focused preventive steps
title_sort minimising complications in abdominoplasty: an approach based on the root cause analysis and focused preventive steps
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3901918/
https://www.ncbi.nlm.nih.gov/pubmed/24501473
http://dx.doi.org/10.4103/0970-0358.118615
work_keys_str_mv AT rangaswamymohan minimisingcomplicationsinabdominoplastyanapproachbasedontherootcauseanalysisandfocusedpreventivesteps