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Postoperative complications in patients submitted to isolated abdominoplasty alone or associated to other abdominal surgeries

BACKGROUND: The association of abdominoplasty with other surgeries of the abdominal wall and cavity is an attractive approach although it has been a matter of controversies.Our objective is to evaluate the morbidity and mortality of these procedures. METHODS: We studied retrospectively 75 patients with indication for abdominoplasty. Thirty nine of them were submitted to abdominoplasty alone (group 1) and 36 were associated with other abdominal surgeries (group2), as hernioplasties, hysterectomies or cholecystectomies. RESULTS: The complications were seroma (group 1: 2.56%, group 2: 25%), epidermolisis (group 1: 12.82%, group 2: 5.55%), suture dehiscence (group 1: 5.12%, group 2: 5.55%), wound infection (group 1: 0%, group 2: 8.33%) and haematoma (group 1: 0%, group 2: 5.55%). There was statistical difference only in the presence of seroma (p=0.009). CONCLUSION: There was no significant increase in morbidity and mortality when abdominoplasty was combined to other abdominal surgeries compared to isolated abdominoplasty.

Postoperative Complications; Abdomen; Plastic surgery


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