Analysis of complications from abdominoplasty: A review of 206 cases at a university hospital

Keith C. Neaman, Juliana E. Hansen

Research output: Contribution to journalReview articlepeer-review

191 Scopus citations

Abstract

The number of abdominoplasties performed in the United States has been steadily increasing over the past decade. A large proportion of these patients are bariatric patients who remain obese despite prior weight-reduction surgery. This study was done to review the experience of patients undergoing abdominoplasty at a university hospital. A retrospective chart review of 206 consecutive patients was performed. The overall complication rate was 37.4%. Major complications [hematoma requiring surgical intervention, seroma requiring aspiration or surgical drainage, cellulitis or abscess requiring hospitalization and intravenous (IV) antibiotics, deep vein thrombosis (DVT), and pulmonary embolism (PE)] occurred in 16% of patients. The rate of minor complications (hematoma or seroma requiring no intervention, epidermolysis, small-wound dehiscence, neuropathic pain, and minor cellulitis) was 26.7%. Obese patients had a significantly increased risk of developing major complications as compared with nonobese patients (53.4% versus 28.8%, P = 0.001). An in-depth analysis of all complications and risk factors was done.

Original languageEnglish (US)
Pages (from-to)292-298
Number of pages7
JournalAnnals of plastic surgery
Volume58
Issue number3
DOIs
StatePublished - Mar 2007

Keywords

  • Abdominoplasty
  • Bariatric surgery
  • Body contouring
  • Seroma

ASJC Scopus subject areas

  • Surgery

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