Complication rates of lipoabdominoplasty versus traditional abdominoplasty in high-risk patients

Plastic and Reconstructive Surgery
Salem SamraJohn Persing

Abstract

Concerns over the safety of combining extensive liposuction with abdominoplasty in a one-stage lipoabdominoplasty procedure persist. This study reports a comparison of the perfusion-related complication rates between lipoabdominoplasty and traditional abdominoplasty among high-risk patients, those more susceptible to complications secondary to a smoking history or previous significant supraumbilical abdominal scar. The authors conducted a chart review of 161 patients from the Yale University Cosmetic Clinic who had undergone either lipoabdominoplasty (n = 93) or traditional abdominoplasty (n = 68) between 2004 and 2009. Patients were classified as high-risk patients if they were active smokers or had undergone previous abdominal surgery resulting in a significant supraumbilical abdominal scarring. Specific vascularity-related complications were compared between the techniques. Patients undergoing lipoabdominoplasty had a perfusion-related complication rate of 4.30 percent compared with 11.76 percent in those undergoing traditional abdominoplasty (p = 0.126). Among high-risk patients (26 smokers and 19 patients with significant supraumbilical scars), there was no statistically significant difference for perfusion-related complic...Continue Reading

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Mar 7, 2013·Surgical Infections·Dale W BratzlerUNKNOWN Society for Healthcare Epidemiology of America (SHEA)
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