| PRS 0106-1869- Van Uchelen
Van Uchelen JH, Werker PM, Kon M.
Complications of abdominoplasty in 86 patients.
Plast Reconstr Surg. 2001 Jun;107(7):1869-73.
Department of Plastic, Reconstructive, and Hand Surgery, Division of Surgery,
University Medical Center Utrecht, The Netherlands.
A total of 101 consecutive abdominoplasty patients were reviewed
retrospectively. Of these, 14 male (mean age at time of operation, 34.3 years;
range, 23 to 53 years) and 72 female (mean age at time of operation, 38.9 years;
range, 19 to 64 years) patients had adequate documentation for inclusion in this
study.Complications were recorded as either wound complications (wound
infection, partial wound dehiscence, seroma, hematoma, and skin edge necrosis)
or complications after surgery (deep vein thrombosis, pulmonary emboli, ileus,
sensibility disorder of the skin of the thighs, and death). The complications
were subsequently correlated for sex, race, the patient's age at surgery, body
mass index before surgery, and the seniority of the surgeon.Nine male patients
(64.3 percent) and 11 female patients (15.3 percent) had wound complications.
Almost 10 percent of our patients sustained an injury to the lateral cutaneous
nerve of the thigh.Male patients should be informed about their possible higher
risk of complications, and special attention must be given by the surgeon to the
prevention of such complications.Moreover, specific attention must be given to
the preservation of the lateral cutaneous nerves of the thigh in both male and
female patients undergoing abdominoplasties.
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