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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...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publication & Media Pvt Ltd
2013
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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 |
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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 |