Prevention and Management of Complications in Body Contouring Surgery

被引:22
|
作者
Gusenoff, Jeffrey A. [1 ]
机构
[1] Univ Pittsburgh, Dept Plast Surg, Life Weight Loss Program, UPMC Plast Surg Ctr, Pittsburgh, PA 15213 USA
关键词
Complications; Body contour; Infection; Hematoma; Seroma; Dehiscence; Delayed wound healing; Plastic surgery; MASSIVE WEIGHT-LOSS; PROGRESSIVE TENSION SUTURES; POST-BARIATRIC PATIENTS; WOUND COMPLICATIONS; SEROMA FORMATION; PLASTIC-SURGERY; RISK-ASSESSMENT; FIBRIN GLUE; ABDOMINOPLASTY; THROMBOEMBOLISM;
D O I
10.1016/j.cps.2014.06.006
中图分类号
R61 [外科手术学];
学科分类号
摘要
This patient safety article discusses strategies to prevent, diagnose, and manage complications from body contouring surgery. Preoperative, intraoperative, and postoperative approaches to avoiding, identifying, and treating complications are addressed. Individual complications, such as hematoma, seroma, infection, dehiscence, suture extrusion, deep venous thrombosis, and pulmonary embolism are discussed and a review of complication rates in the body contouring literature is provided. The article addresses procedure-specific complications and pearls to avoiding complications in these cases. Difficult problems such as skin relaxation and management of the disappointed patient are also discussed.
引用
收藏
页码:805 / +
页数:15
相关论文
共 50 条
  • [1] Complications in Postbariatric Body Contouring: Strategies for Assessment and Prevention
    Michaels, Joseph, V
    Coon, Devin
    Rubin, J. Peter
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2011, 127 (03) : 1352 - 1357
  • [2] Complications After Body Contouring Surgery in Postbariatric Patients
    Garcia Botero, Alejandra
    Garcia Wenninger, Miguel
    Fernandez Loaiza, Dario
    [J]. ANNALS OF PLASTIC SURGERY, 2017, 79 (03) : 293 - 297
  • [3] Complications in Postbariatric Body Contouring: Postoperative Management and Treatment
    Michaels, Joseph
    Coon, Devin
    Rubin, J. Peter
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2011, 127 (04) : 1693 - 1700
  • [4] Intraoperative factors associated with postoperative complications in body contouring surgery
    Cohen, Barak
    Meilik, Benjamin
    Weiss-Meilik, Ahuva
    Tarrab, Aviv
    Matot, Idit
    [J]. JOURNAL OF SURGICAL RESEARCH, 2018, 221 : 24 - 29
  • [5] Comorbid Conditions and Complications in Body Contouring Surgery: A Retrospective Review
    Garoosi, Kassra
    Mundra, Leela
    Jabbari, Kayvon
    Winocour, Julian
    Lorio, Matthew L.
    Mathes, David W.
    Kaoutzanis, Christodoulos
    [J]. AESTHETIC SURGERY JOURNAL OPEN FORUM, 2023, 5
  • [6] BODY CONTOURING SURGERY
    FOWLER, ME
    [J]. NURSING CLINICS OF NORTH AMERICA, 1994, 29 (04) : 753 - 761
  • [7] Body Contouring Surgery
    Eisenhardt, Steffen U.
    Torio-Padron, Nestor
    Stark, G. Bjoern
    [J]. DEUTSCHES ARZTEBLATT INTERNATIONAL, 2012, 109 (05): : 78 - 78
  • [8] Body contouring surgery
    Pitanguy, N
    [J]. BULLETIN DE L ACADEMIE NATIONALE DE MEDECINE, 2003, 187 (03): : 489 - 491
  • [9] Management and Prevention of Complications in HPB Surgery
    Keck, T.
    [J]. ZENTRALBLATT FUR CHIRURGIE, 2016, 141 (06): : 607 - 608
  • [10] SURGERY OF GLAUCOMA PREVENTION AND MANAGEMENT OF COMPLICATIONS
    Joaquin Barraquer
    separated and facilitate the formation of a filtering bleb
    which is usually diffuse and not very prominent.In the prevention and management of postoperative complications
    especially ciliary block or malignant glaucoma
    Healon has been found to be extremely useful. Careful suturing of the scleral pening
    reformation of the anterior chamber with Healon and instillation of 1% atropine to produce adequate relaxation of the ciliary body
    and the administration of local and general corticosteroids to inhibit the inflammatory reaction are imperative to avoid these complications. If
    in spite of all precautions
    ciliary block glaucoma does occur
    osmotherapy must be started immediately intravenous mannitol
    or
    preferably
    lyophilized urea
    the pupil must be dilated using 4% atropine and 10% phenylephrine
    and the doses of corticosteroids should be increased 60 mg. of prednisone in intramuscular injection and frequent instillation of dexamethasone eye drops. If the problem does not resolve within a few hours
    immediate reintervention is imperative:1 Posterior sclerotomy at the level of the pars plana ciliaris.2 Vitrectomy and aspiration of the aqueous humor which is retained behind and/or in the vitreous humor.3 Reformation of the anterior chamber with Healon.4 The pupil should be maintained dilated with 4% atropine during a prolonged period of time. Prof. Joaquin Barraquer M.D.
    F.A.C.S. Instituto Barraquer Barcelona
    Spain
    [J]. 眼科学报, 1986, (03) : 161 - 162