Safety in Office-Based Full Abdominoplasty

Abstract

4.

Clinical Practice Patterns and Evidence-Based Medicine in Abdominoplasty: 16-Year Analysis of Continuous Certification Tracer Data from the American Board of Plastic Surgery

“…Gray et al reported an 8-year retrospective review of 206 patients undergoing abdominoplasty in an outpatient setting who were discharged to home the same day without any major complication. 30 The present review interestingly illustrates that 21% of surgeons still perform abdominoplasty in a hospital inpatient setting. Of the 79% of cases performed on an outpatient basis, 20% were in a hospital, 36% were in an ambulatory care facility, and 23% were in an office operating room.…”

Office-based Plastic Surgery—Evidence-based Clinical and Administrative Guidelines

“…16,49–51 Hypothermia can also potentiate the effects of anesthesia and prolong the duration of postoperative recovery and the hospital stay. 50,116–118 Therefore, measures to prevent hypothermia should be available, including but not limited to, ambient temperature optimization, forced air warming blankets (bair huggers), warmed intravenous fluids, and blood products. 16,24,51,117 Strict monitoring of patients’ vitals and temperature is necessary in all practices.…”

“…108,109,114 An exception may be noted for abdominoplasty, which is associated with a higher risk of developing VTE; studies have shown benefit in using VTE chemoprophylaxis in abdominoplasty patients. 23,99,112,115…”

“…Hypothermia is an intraoperative event associated with increased risks of surgical site infections, myocardial events, and blood loss due to disruption of the coagulation cascade 24,50,116,117 ; a 1 °C decrease in core body temperature increases blood loss by as much as 20%, in turn increasing the likelihood of a transfusion. 16,49–51 Hypothermia can also potentiate the effects of anesthesia and prolong the duration of postoperative recovery and the hospital stay.…”

Effect of Tissue Adhesives on Seroma Incidence After Abdominoplasty: A Systematic Review and Meta-Analysis

“…2 Owing to dramatic increases in the prevalence of obesity and bariatric surgery, abdominoplasty has become a routine operation. [3][4][5] Nevertheless, abdominoplasty continues to be associated with complications, such as seroma, hematoma, infection, necrosis of the skin or fat, and delayed wound healing. [6][7][8] Seroma is a common complication of abdominoplasty, with incidences ranging from 10% to 90%.…”