Matarasso Alan, Smith Darren M
New York, N.Y.; and Pittsburgh, Pa. From the Department of Plastic Surgery, Manhattan Eye, Ear & Throat Hospital; and the Department of Plastic Surgery, University of Pittsburgh Medical Center.
Plast Reconstr Surg. 2015 May;135(5):849e-860e. doi: 10.1097/PRS.0000000000001238.
Abdominoplasty and breast surgery are frequently appealing to patients as combined procedures. The practice of combining abdominoplasty with other procedures originates from abdominoplasty performed in conjunction with intraabdominal or gynecologic surgery. Initially, the focus of combined surgery was on ensuring safety and minimizing local (e.g., wound healing) complications. As surgeons began combining abdominoplasty with distant procedures such as breast surgery, because the individual procedures have little adverse impact on one another and are not altered because of the combination, concerns with systemic morbidity surpassed the initial focus on avoiding local complications. Prevention of venous thromboembolism became a paramount concern. The authors perform abdominoplasty in conjunction with other procedures more frequently than in isolation, reflecting broader societal demand. Indeed, because of the effects of pregnancy and aging, abdominoplasty is being performed in conjunction with breast surgery with frequency sufficient to have driven the term "mommy makeover" into mainstream parlance. Consideration regarding length of surgery and the other recommendations in this report allows for the safe and successful execution of this common combination.
腹壁成形术和乳房手术作为联合手术常常吸引患者。腹壁成形术与其他手术联合的做法起源于与腹腔内或妇科手术同时进行的腹壁成形术。最初，联合手术的重点是确保安全并将局部（如伤口愈合）并发症降至最低。随着外科医生开始将腹壁成形术与诸如乳房手术等远距离手术联合，由于各个手术对彼此几乎没有不良影响且不会因联合而改变，对全身发病率的担忧超过了最初对避免局部并发症的关注。预防静脉血栓栓塞成为首要关注点。作者进行腹壁成形术与其他手术联合的频率高于单独进行腹壁成形术，这反映了更广泛的社会需求。事实上，由于怀孕和衰老的影响，腹壁成形术与乳房手术联合进行的频率之高，足以使“妈妈整形套餐”一词成为主流用语。对手术时长的考虑以及本报告中的其他建议有助于安全、成功地实施这种常见的联合手术。
