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The technical approach to laparoscopic colectomy in patients who have undergone prior abdominoplasty

  • Technical Note
  • Published:
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Abstract

Background

For those patients undergoing laparoscopic colorectal surgery who have had prior abdominoplasty, cosmetic outcome is important and the technical considerations for laparoscopy in post-abdominoplasty patients have not been previously addressed. The aim of the present study was to define the technical approach to the post-abdominoplasty patient undergoing laparoscopic colorectal surgery after abdominoplasty.

Methods

Utilizing the technical approach described, eleven patients underwent laparoscopy after prior abdominoplasty over a 7-year period.

Results

The majority of patients (10/11) felt their laparoscopic colorectal resection had no adverse effect on the aesthetics of their prior abdominoplasty. From a surgeon’s standpoint, the only significant challenge was due to the loss of abdominal wall compliance.

Conclusions

The surgical approach to laparoscopic colectomy in the post-abdominoplasty patient requires careful planning. Cosmetic outcome is a particularly important consideration for this subset of patients, and this should be appreciated by the operating surgeon.

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Conflict of interest

The authors report no conflict of interest.

Author information

Authors and Affiliations

  1. Florida Hospital, Orlando, FL, USA

    S. Atallah, M. Albert, O. Felix, S. Izfar, T. deBeche-Adams & S. Larach

Authors
  1. S. Atallah
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  2. M. Albert
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  3. O. Felix
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  4. S. Izfar
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  5. T. deBeche-Adams
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  6. S. Larach
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Corresponding author

Correspondence to S. Atallah.

Appendix

Appendix

Patient survey questions

  1. 1.

    How important is it you that the aesthetics of your prior abdominoplasty be maintained after you had colon surgery?

    1. (a)

      most important

    2. (b)

      very important

    3. (c)

      neutral or not sure

    4. (d)

      somewhat important

    5. (e)

      not important

  2. 2.

    Do you feel that your laparoscopic colorectal operation negatively affected the aesthetics of your prior abdominoplasty?

    1. (a)

      not at all

    2. (b)

      slightly

    3. (c)

      neutral or not sure

    4. (d)

      moderately

    5. (e)

      greatly

Surgeon survey questions

  1. 1.

    Where there limitations encountered during the laparoscopic resection?

    1. (a)

      Yes

    2. (b)

      No

    3. (c)

      Not sure

  2. 1.

    Compared to the standard laparoscopic approaches used in colorectal surgery, do you feel the approach used to preserve cosmesis—by avoiding the midline and by using preexisting abdominoplasty scars—caused a hindrance to performing the surgery?

    1. (a)

      not at all

    2. (b)

      slightly

    3. (c)

      neutral or not sure

    4. (d)

      moderately

    5. (e)

      greatly.

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Atallah, S., Albert, M., Felix, O. et al. The technical approach to laparoscopic colectomy in patients who have undergone prior abdominoplasty. Tech Coloproctol 17, 111–116 (2013). https://doi.org/10.1007/s10151-012-0875-9

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  • DOI: https://doi.org/10.1007/s10151-012-0875-9

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