Thursday, February 1, 2007
12182

Complications of Abdominoplasty Combined with a Gynecological Procedure

Thomas L. Yen, MD, Keith Neaman, Randall Nacamuli, and Juliana Hansen.

Purpose: Abdominoplasties are one of the most common aesthetic procedures performed, and the total number of these procedures has increased over 300 percent in the past seven years. Due to significant potential savings to patients in terms of time and money, Plastic Surgeons are frequently asked to combine abdominoplasty with other abdomino-pelvic operations, such as gynecologic procedures. A retrospective review of abdominoplasties combined with a gynecologic procedure was undertaken to determine its safety and rate of complications.

Methods & Materials: Twenty-seven patients at or institution underwent abdominoplasty combined with a gynecologic procedure over the past 10 years. The mean age of the group was 50. Eight patients (29.6%) had a body mass index greater than 30. No patients developed a pulmonary embolus or deep venous thrombosis. No patients required a transfusion. One patient had a post-operative hematoma which required surgical intervention. Three patients developed seromas (11%) of which only one required aspiration.

Results and Conclusions: Our data demonstrate a similar rate of complications between abdominoplasty combined with gynecologic procedures and published complications rates for abdominoplasty alone. that serious complications Combining abdominoplasty with a gynecologic procedure appears to be safe and may decrease overall costs for the patient.