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Aesthetic Plastic Surgery of the Abdomen pp 507–519Cite as

Increased Intraoperative Bleeding in Patients Undergoing Abdominoplasty After Gastroplasty Is Not Due to Coagulopathy or Vascular Anatomical Changes

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Abstract

Abdominoplasties performed in patients that have previously undergone bariatric surgery, with great secondary weight loss, present high levels of intra- and postoperative complications. Among these complications, the most “feared” one is certainly the increased bleeding observed in these patients when compared with patients who never presented history of obesity.

Specific papers of international literature show that this major bleeding observed while performing abdominoplasty in these “ex-obese” patients is not due to vascular tissular/anatomic alterations or changes in blood coagulation (hemostasis) and point to the real cause of this “dreaded” complication.

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Authors and Affiliations

  1. Department of Plastic Surgery, School of Medical Sciences, Universidade de Marília (UNIMAR), Av. Rio Branco, 1132, Cj. 41, Alto Cafezal, Marília, SP, 17502-000, Brazil

    Luís Ricardo Martinhão Souto M.D., Ph.D.

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  1. Luís Ricardo Martinhão Souto M.D., Ph.D.
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Correspondence to Luís Ricardo Martinhão Souto M.D., Ph.D. .

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    Alberto Di Giuseppe

  2. Tustin, California, USA

    Melvin A. Shiffman

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Souto, L.R.M. (2016). Increased Intraoperative Bleeding in Patients Undergoing Abdominoplasty After Gastroplasty Is Not Due to Coagulopathy or Vascular Anatomical Changes. In: Di Giuseppe, A., Shiffman, M. (eds) Aesthetic Plastic Surgery of the Abdomen. Springer, Cham. https://doi.org/10.1007/978-3-319-20004-0_43

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