TY - JOUR T1 - Karın Germe Ameliyatı Kontrendikasyonlarının Gözden Geçirilmesi ve Komplike Olmuş Olgu Sunumu TT - A Review of Contraındications of the Abdominoplasty Procedure and Presentation of a Complicated Case AU - Temel, Metin AU - Zobacı, Ethem AU - Kahraman, Ahmet AU - Özkan, Mustafa AU - Karakaş, Ali PY - 2015 DA - March DO - 10.17944/mkutfd.42962 JF - The Medical Journal of Mustafa Kemal University JO - mkutfd PB - Hatay Mustafa Kemal Üniversitesi WT - DergiPark SN - 2149-3103 SP - 45 EP - 49 VL - 5 IS - 20 LA - tr AB - Giriş: Abdominoplasti vücut şekillendirmede en popüler cerrahi işlemlerdendir. En sık görülen komplikasyonlar seroma ve yara iyileşme problemleridir. Bu çalışmada abdominoplasti kontrendikasyonları ile komplikasyon nedeniyle takip edilen bir olgunun sunulması amaçlanmıştır.Olgu sunumu: 57 yaşında, hasta abdomen bölgesinde enfekte olmuş açık yara ile başvurdu. Hastanın 15 yıldır diyabet ve hipertansiyon nedeniyle tedavi gördüğü öğrenildi. Yapılan muayenesinde kolesistektomi skarının mevcut olduğu ve vücut kitle indeksinin 37 olduğu tespit edildi. Abdominoplasti sonrasında karın ön duvarında Enfeksiyon bulguları geriledikten sonra abdominal bölgedeki doku defekti greftlenerek defekt kapatımı yapıldı.Tartışma: Vücut şekillendirmede rağbet görmesine rağmen abdominoplasti halen birçok komplikasyonu beraberinde getirebilen bir cerrahi prosedürdür. Bu nedenle hastaların iyi seçilmesi kontrendikasyonların ve göreceli kontrendikasyonların hasta eksenli düşünülerek hastanın özelliklerine göre endikasyon sınırlarının çizilmesi gerektiğini düşünmekteyiz.Anahtar Kelimeler: Abdominoplasti Komplikasyonları; Diyabet; Hipertansiyon; Vakum Yardımlı Kapama. KW - Abdominoplasti Komplikasyonları KW - Diyabet KW - Hipertansiyon KW - Vakum Yardımlı Kapama N2 - Introduction: Abdominoplasty is the mostpopular surgical body contouring procedures.The seroma and the wound healing problemsare the most common complications. In thisstudy, we aimed to report complication ofabdominoplasty procedures and a casefollowed for complicated afterabdominoplasty.Case Report: A 57 years old female patientappealed with infected abdominal wall woundand revealed diabetes mellitus, hypertension,cholesistectomia scar, and BMI was 37. Theabdominal tissue defect was repairedbygrafting after regression of enfectious signs.Conclusion: Despite of its popularity, theabdominoplasty is still associated withcomplications. Thus, we believe that thepatient selection must be considered from theindividually, as for to determinate theindication borders. CR - Zammerilla LL, Zou RH, Dong ZM, et al. Classifying severity of abdominal contour deformities after weight loss to aid in patient counseling: a review of 1006 cases. Plastic and reconstructive surgery 2014;134:888e-894e CR - van Uchelen JH, Werker PM, Kon M. Complications of abdominoplasty in 86 patients. Plastic and reconstructive surgery 2001;107:1869-1873 CR - Hensel JM, Lehman JA, Jr., Tantri MP, et al. An outcomes analysis and satisfaction survey of 199 consecutive abdominoplasties. Annals of plastic surgery 2001;46:357-363 CR - Floros C, Davis PK. Complications and long-term results following abdominoplasty: a retrospective study. British journal of plastic surgery 1991;44:190-194 CR - Neaman KC, Hansen JE. Analysis of complications from abdominoplasty: a review of 206 cases at a university hospital. Annals of plastic surgery 2007;58:292-298 CR - Pollock T, Pollock H. Progressive tension sutures in abdominoplasty. Clinics in plastic surgery 2004;31:583-589, vi CR - Nahas FX, Ferreira LM, Ghelfond C. Does quilting suture prevent seroma in abdominoplasty? Plastic and reconstructive surgery 2007;119:1060-1064; discussion 1065-1066 CR - Manassa EH, Hertl CH, Olbrisch RR. Wound healing problems in smokers and nonsmokers after 132 abdominoplasties. Plastic and reconstructive surgery 2003;111:2082-2087; discussion 2088-2089 CR - El-Khatib HA, Bener A. Abdominal dermolipectomy in an abdomen with pre-existing scars: a different concept. Plastic and reconstructive surgery 2004;114:992-997 CR - Mayr M, Holm C, Hofter E, et al. Effects of aesthetic abdominoplasty on abdominal wall perfusion: a quantitative evaluation. Plastic and reconstructive surgery 2004;114:1586-1594 CR - Rogliani M, Silvi E, Labardi L, et al. Obese and nonobese patients: complications of abdominoplasty. Annals of plastic surgery 2006;57:336-338 CR - Huger WE, Jr. The anatomic rationale for abdominal lipectomy. The American surgeon 1979;45:612-617 CR - Matarasso A. Abdominolipoplasty. Clinics in plastic surgery 1989;16:289-303 CR - Matarasso A. Awareness and avoidance of abdominoplasty complications. Aesthetic surgery journal / the American Society for Aesthetic Plastic surgery 1997;17:256, 258-261 CR - Baroudi R, Ferreira CA. Seroma: how to avoid it and how to treat it. Aesthetic surgery journal / the American Society for Aesthetic Plastic surgery 1998;18:439-441 UR - https://doi.org/10.17944/mkutfd.42962 L1 - https://dergipark.org.tr/tr/download/article-file/183522 ER -