Stein Michael J, Karaev Sophia, Matarasso Alan
Manhattan Eye Ear and Throat Hospital, New York, NY, USA.
Georgetown University, Washington, DC, USA.
Plast Surg (Oakv). 2024 Dec 10:22925503241300335. doi: 10.1177/22925503241300335.
Abdominoplasty continues to be a frequently performed plastic surgery procedure. Futhermore, an increase in both surgical and medical weight loss is contributing to the procedure's increasing popularity. Technical refinements have improved surgical outcomes and safety. Despite this, it remains a procedure with one of the highest morbidity and mortality risks in aesthetic plastic surgery. A review of abdominoplasty complications and best practices was performed in order to provide a succinct review of the most prevalent safety issues in abdominoplasty surgery. In order to mitigate the risk of complications, risk stratification, patient selection, and using evidence-based techniques are essential. In the present study, the authors provide recommendations for approaching the most common safety considerations of this procedure. Appropriate patient selection, surgical technique and proper protocols, ensures surgeons control the modifiable risk factors that increase complications. Implementing nonpharmacologic and pharmacologic interventions reduce the risk of venous thromboembolism. Using evidence-based techniques tailored to the specific patient's anatomy ensures the vascular territories of the abdominoplasty flap are respected and perfusion for wound healing is optimized.
腹壁成形术仍然是一种经常实施的整形手术。此外，手术减肥和医学减肥的增加都促使该手术越来越受欢迎。技术改进提高了手术效果和安全性。尽管如此，它仍然是美容整形手术中发病率和死亡率风险最高的手术之一。为了对腹壁成形术的并发症和最佳实践进行综述，以便对腹壁成形术最普遍的安全问题进行简要回顾。为了降低并发症风险，风险分层、患者选择以及采用循证技术至关重要。在本研究中，作者针对该手术最常见的安全考量提出了建议。恰当的患者选择、手术技术和适当的方案，可确保外科医生控制增加并发症的可改变风险因素。实施非药物和药物干预可降低静脉血栓栓塞的风险。采用针对特定患者解剖结构量身定制的循证技术，可确保尊重腹壁成形皮瓣的血管区域，并优化伤口愈合的灌注。
