Necrotizing Fasciitis after Abdominoplasty

Gaede, Florian; Ouazzani, Aous; Fontaine, Serge de

doi:10.1097/01.prs.0000300301.95125.1d

Cited by 10 publications

(6 citation statements)

References 4 publications

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“…There is generally a quick response to treatment. Reports of severe infections evolving into necrotizing fasciitis, sepsis, and shock are scarce [ 35 ]. Surgical debridement is the last resort for aggressive infections that do not respond adequately to antibiotics ( Fig.…”

Section: Resultsmentioning

confidence: 99%

Managing Complications in Abdominoplasty: A Literature Review

2017

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BackgroundAbdominoplasty, with or without liposuction, is among the most frequently performed aesthetic procedures. Its main objective is to improve the body contour by means of excising redundant skin and fat tissue. Although abdominoplasty is considered a safe procedure with high satisfaction rates, intraoperative and postoperative complications can become a challenge for the surgical team. The aim of this article is to offer a synopsis of the most common complications arising after abdominoplasty, along with evidence-based guidelines about how to prevent and treat them.MethodsA systematic MEDLINE search strategy was designed using appropriate Medical Subject Headings (MeSH) terms, and references were scanned for further relevant articles.ResultsAccording to the published case series, local complications are considerably more common than complications with systemic repercussions. Approximately 10% to 20% of patients suffer a local complication following abdominoplasty, while fewer than 1% suffer a systemic complication. Prevention and management strategies are critically discussed for complications including seroma, haematoma, infection, skin necrosis, suture extrusions, hypertrophic scars, neurological symptoms, umbilical anomalies, deep venous thrombosis and pulmonary thromboembolism, respiratory distress, and death.ConclusionsThe complications of abdominoplasty vary in severity and in the impact they have on the aesthetic outcomes. Recommendations for prevention and management are based on various levels of evidence, with a risk of observer bias. However, most complications can be treated appropriately following the current standards, with satisfactory results.

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Section: Resultsmentioning

confidence: 99%

Managing Complications in Abdominoplasty: A Literature Review

2017

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“…Most clinical series articles on abdominoplasty safety have focused on local (wounds, seromas) complications, systemic complications 16–20 and deep venous thrombosis prophylaxis. 21 With one exception, 22 no publication on abdominoplasty has ever directly focused on mortality as the central theme of its communication.…”

Section: Discussionmentioning

confidence: 99%

“…This is consistent with many innovations and/or Plastic and Reconstructive Surgery • December 2021 techniques in plastic surgery, where procedural advances, improved instrumentation, and proper surgical education have led to better patient safety and safer outcomes. 14,15 Most clinical series articles on abdominoplasty safety have focused on local (wounds, seromas) complications, systemic complications [16][17][18][19][20] and deep venous thrombosis prophylaxis. 21 With one exception, 22 no publication on abdominoplasty has ever directly focused on mortality as the central theme of its communication.…”

Section: Discussionmentioning

confidence: 99%

Safety Comparison of Abdominoplasty and Brazilian Butt Lift: What the Literature Tells Us

Vecchio¹,

Wall²,

Mendieta³

et al. 2021

Plastic &Amp; Reconstructive Surgery

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Background: Although abdominoplasty is a mainstay of the plastic surgeon, the safety of the Brazilian butt lift (BBL) has been questioned, effectively being prohibited in some countries. The central rationale for the safety concern over the BBL stems from a publication stating a mortality rate of one in 3000. The question remains: What is the real safety of these procedures? Methods: Focusing on mortality, literature searches were performed for BBL and for abdominoplasty. The 2017 Aesthetic Surgery Education and Research Foundation survey data and publication were examined and analyzed. Additional data from the American Association for Accreditation of Ambulatory Surgical Facilities were obtained independently. Results: Abdominoplasty and BBL appear to have similar safety based on mortality; however, the nature of their mortalities is different. Although most abdominoplasty deaths are secondary to deep venous thrombosis/pulmonary embolism-inherent circulatory thrombotic abnormality-BBL mortality is associated with iatrogenic pulmonary fat embolism. BBL mortality rates from more recent surveys on BBL safety demonstrate a mortality of one in 15,000. Conclusions: Although deep venous thrombosis/pulmonary embolism will always remain an abdominoplasty risk, intraoperative BBL pulmonary fat embolism has the potential to be reduced dramatically with a better understanding of dynamic anatomy, surgical instrumentation, and technique. The authors are now presented with a better lens with which to view a more accurate safety profile of BBL surgery, including its place among other commonly performed aesthetic procedures.

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“…The appearance of blisters with high fever not corresponding to the amount of necrosis was a warning sign for necrotizing fasciitis. 41,42 With VAC therapy, the wound became clean and defects up to the umbilicus were closed by secondary intention without the need for skin grafting.…”

Section: Discussionmentioning

confidence: 99%

A Personal Approach for Abdominoplasty

El-Sabbagh

2016

Am J Cosmet Surg

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All included patients were multiparous obese female patients. Their ages ranged between 30 and 60 years. Patient Exclusion Criteria Patients with comorbid conditions such as acute attack of bronchial asthma and uncontrolled diabetes were excluded from the study. Also, patients with body mass index >35 or with history of deep venous thrombosis were excluded from the study. Recent upper transverse scars (less than 6 months) and patients with overexpectation were added to the exclusion list.

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Necrotizing Fasciitis after Abdominoplasty

Cited by 10 publications

References 4 publications

Managing Complications in Abdominoplasty: A Literature Review

Managing Complications in Abdominoplasty: A Literature Review

Safety Comparison of Abdominoplasty and Brazilian Butt Lift: What the Literature Tells Us

A Personal Approach for Abdominoplasty

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