A Review of Contraındications of the Abdominoplasty Procedure and Presentation of a Complicated Case

Yıl 2014, Cilt: 5 Sayı: 20, 45 - 49, 03.03.2015

Metin Temel , Ethem Zobacı Ahmet Kahraman Mustafa Özkan Ali Karakaş

https://doi.org/10.17944/mkutfd.42962

Öz

Introduction: Abdominoplasty is the most
popular surgical body contouring procedures.
The seroma and the wound healing problems
are the most common complications. In this
study, we aimed to report complication of
abdominoplasty procedures and a case
followed for complicated after
abdominoplasty.
Case Report: A 57 years old female patient
appealed with infected abdominal wall wound
and revealed diabetes mellitus, hypertension,
cholesistectomia scar, and BMI was 37. The
abdominal tissue defect was repairedby
grafting after regression of enfectious signs.
Conclusion: Despite of its popularity, the
abdominoplasty is still associated with
complications. Thus, we believe that the
patient selection must be considered from the
individually, as for to determinate the
indication borders. 

Anahtar Kelimeler

Abdominoplasty complications, Diabetes, Hypertension, Vacuum assisted closure

Karın Germe Ameliyatı Kontrendikasyonlarının Gözden Geçirilmesi ve Komplike Olmuş Olgu Sunumu

Öz

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.

Anahtar Kelimeler

Abdominoplasti Komplikasyonları, Diyabet, Hipertansiyon, Vakum Yardımlı Kapama

Kaynakça

• 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
• van Uchelen JH, Werker PM, Kon M. Complications of abdominoplasty in 86 patients. Plastic and reconstructive surgery 2001;107:1869-1873
• 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
• Floros C, Davis PK. Complications and long-term results following abdominoplasty: a retrospective study. British journal of plastic surgery 1991;44:190-194
• 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
• Pollock T, Pollock H. Progressive tension sutures in abdominoplasty. Clinics in plastic surgery 2004;31:583-589, vi
• Nahas FX, Ferreira LM, Ghelfond C. Does quilting suture prevent seroma in abdominoplasty? Plastic and reconstructive surgery 2007;119:1060-1064; discussion 1065-1066
• 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
• 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
• 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
• Rogliani M, Silvi E, Labardi L, et al. Obese and nonobese patients: complications of abdominoplasty. Annals of plastic surgery 2006;57:336-338
• Huger WE, Jr. The anatomic rationale for abdominal lipectomy. The American surgeon 1979;45:612-617
• Matarasso A. Abdominolipoplasty. Clinics in plastic surgery 1989;16:289-303
• Matarasso A. Awareness and avoidance of abdominoplasty complications. Aesthetic surgery journal / the American Society for Aesthetic Plastic surgery 1997;17:256, 258-261
• 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