Prevention and Management of Abdominoplasty Complications

  • Melvin A. ShiffmanEmail author


Complications following abdominoplasty can occur at any time with any patient despite adequate surgical technique and patient care. These problems may cause patient discomfort, delay recovery, require further surgery, or threaten the patient’s survival. The surgeon should be aware of the possible complications, their prevention, their timely diagnosis, and their treatment. The possible risks and complications must be discussed with the patient prior to surgery.


Necrotizing Fasciitis Polycythemia Vera Toxic Shock Syndrome Factor Versus Leiden Factor Versus 
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  1. 1.
    Van Uchelen JH, Werker PM, Kon M. Complications in abdominoplasty in 86 patients. Plast Reconstr Surg. 2001;107(7):1869–73.CrossRefPubMedGoogle Scholar
  2. 2.
    Pollock H, Pollock T. Progressive tension sutures: a technique to reduce local complications in abdominoplasty. Plast Reconstr Surg. 2000;105(7):2583–6.CrossRefPubMedGoogle Scholar
  3. 3.
    Mohammad JA, Warnke PH, Stavraky W. Ultrasound in the diagnosis and management of fluid collection complications following abdominoplasty. Ann Plast Surg. 1998;41(5): 498–502.CrossRefPubMedGoogle Scholar
  4. 4.
    Fenn CH, Butler PE. Abdominoplasty wound-healing complications: assisted closure using foam suction dressing. Br J Plast Surg. 2001;54(4):348–51.CrossRefPubMedGoogle Scholar
  5. 5.
    Shiffman MA. The complicated abdominoplasty: upper abdominal scars. Am J Cosmet Surg. 1994;11(1):43–6.CrossRefGoogle Scholar
  6. 6.
    Floros C, Davis PK. Complications and long-term results following abdominoplasty: a retrospective study. Br J Plast Surg. 1001;44(3):190–4.CrossRefGoogle Scholar
  7. 7.
    Hafezi F, Nouhi AH. Abdominoplasty and seroma. Ann Plast Surg. 2002;48(1):109–10.CrossRefPubMedGoogle Scholar
  8. 8.
    Zecha PJ, Missotten FE. Pseudocyst formation after abdominoplasty – extravasation of Morel-Lavalee. Br J Plast Surg. 1999;52(6):500–2.CrossRefPubMedGoogle Scholar
  9. 9.
    Nicolaides AN, Arcelus J, Belcaro G, Bergqvist D, Borris LC, Buller HR, Caprini JA, Christopoulos D, Clark-Pearson D, Clement D, et al. European consensus statement of the prevention of venous thromboembolism. Int Angiol. 1992; 11:151.PubMedGoogle Scholar
  10. 10.
    Bick RL, Haas SK. International consensus recommendations: summary statement and additional suggested guidelines. Med Clin N Am. 1998;82(3):613–33.CrossRefPubMedGoogle Scholar
  11. 11.
    Clement DI, Gheeraert P, Buysere M, Medical patients. In: Bergquist D, Comerota AJ, Nicolaides AN, editors. Prevention of venous thromboembolism. London: Med-Orion; 1994. p. 319.Google Scholar
  12. 12.
    Senior RM. Pulmonary embolism. In: Wyngaarden JB, Smith LH Jr, Bennett JC, editors. Cecil textbook of medicine. Philadelphia: WB Saunders; 1992. p. 421–8.Google Scholar
  13. 13.
    Anonymous. Prevention of venous thromboembolism. International consensus statement: guideline according to scientific evidence. Int Angiol. 1997;16:3.Google Scholar
  14. 14.
    McDevitt NB. Deep-vein thrombosis prophylaxis. Plast Reconstr Surg. 1999;104(6):1923–8.CrossRefPubMedGoogle Scholar
  15. 15.
    Alving BM. The hypercoagulable states. Hosp Pract. 1993; 28(2):109–21.CrossRefGoogle Scholar
  16. 16.
    Bovill EG, Bauer KA, Dickerman JD, Callas P, West B. The clinical spectrum of heterozygous protein C deficiency in a large New England kindred. Blood 1989;73(3):712–7.PubMedGoogle Scholar
  17. 17.
    Engesser L, Broekman AW, Briet E, Brommer EJ, Bertina RM. Hereditary protein S deficiency: clinical manifestations. Ann Intern Med. 1987;106(5):677–82.CrossRefPubMedGoogle Scholar
  18. 18.
    Dahlback B. New molecular insights into the genetics of thrombophilia. Resistance to activated protein C caused by Arg506 to GLn mutation in factor V as a pathogenic risk factor for venous thrombosis. Thromb Haemost. 1995;74(1): 139–48.PubMedGoogle Scholar
  19. 19.
    Zoller B, Hillarp A, Dahlback B. Activated protein C resistance due to a common factor V gene mutation is a major risk factor for venous thrombosis. Annu Rev Med. 1997; 48:45–58.CrossRefPubMedGoogle Scholar
  20. 20.
    Svensson PJ, Dahlback B. Resistance to activated protein C as a basis for venous thrombosis. N Engl J Med. 1994; 330(8):517–22.CrossRefPubMedGoogle Scholar
  21. 21.
    Bertina RM, Koeleman BP, Koster T, Rosendaal FR, Dirven RJ, de Ronde H, van der Velden PA, Reitsma PH. Mutation in blood coagulation factor V associated with resistance to activated protein C. Nature 1994;369(6475):64–7.CrossRefPubMedGoogle Scholar
  22. 22.
    Bridgen ML. The hypercoagulable state. Who, how, and when to test and treat. Postgrad Med. 1997;101(5):249–67.CrossRefGoogle Scholar
  23. 23.
    Ginsberg JS. Management of venous thromboembolism. N Engl J Med. 1996;335(24):1816–28.CrossRefPubMedGoogle Scholar
  24. 24.
    Olesen LL, Ejlertsen T, Nielsen T. Toxic shock syndrome following insertion of breast prostheses. Br J Surg. 1991;78(5):585–6.CrossRefPubMedGoogle Scholar
  25. 25.
    Poblete JV, Rodgers JA, Wolfort FG. Toxic shock syndrome as a complication of breast prostheses. Plast Reconstr Surg. 1995;96(7):1702–8.CrossRefPubMedGoogle Scholar
  26. 26.
    Walker LE, Breiner MJ, Goodman CM. Toxic shock syndrome after explantation of breast implants: a case report and review of the literature. Plast Reconstr Surg. 1997;99(3):875–9.CrossRefPubMedGoogle Scholar
  27. 27.
    Neifert MR, Seacat JM, Jobe WE. Lactation failure due to inadequate glandular development of the breast. Pediatrics 1985;76(5):823–8.PubMedGoogle Scholar
  28. 28.
    Georgiade NG, Serafin D, Barwick W. Late development of hematoma around a breast implant. Plast Reconstr Surg. 1979;64(5):708–10.CrossRefPubMedGoogle Scholar
  29. 29.
    Scroggins C, Barson PK. Fat embolism syndrome in a case of abdominal lipectomy with liposuction. Md Med J. 1999;48(3):116–8.PubMedGoogle Scholar
  30. 30.
    Benvenuti D. Increased incidence of inguinal hernias following abdominoplasty. Plast Reconstr Surg. 1999;103(6): 1798.CrossRefPubMedGoogle Scholar
  31. 31.
    Vastine VL, Morgan RF, Williams GS, Gampper TJ, Drake DB, Knox LK, Lin KY. Wound complications of abdominoplasty in obese patients. Ann Plast Surg. 1999;42(1):34–9.CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  1. 1.TustinUSA

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