Ovrebø K K, Grong K, Vindenes H
Department of Surgery, Haukeland University Hospital, Bergen, Norway.
Ann Plast Surg. 1997 Jun;38(6):642-4. doi: 10.1097/00000637-199706000-00013.
Suction lipoplasty for abdominal contouring in nonoperated patients is considered a safe procedure with a low incidence of local and systemic complications. Suction lipoplasty combined with a full abdominoplasty is, however, still controversial with a higher rate of local complications. A 56-year-old woman with a history of four laparotomies and two abdominoplasties was hospitalized with abdominal pain and signs of peritonitis after an ambulatory suction lipoplasty. During laparotomy for peritonitis the abdominal wall was found to be stiff and fibrotic, with massive adhesions to the intestine. Two small intestinal perforations caused soiling into the peritoneum. The perforated intestinal segment was resected and the postoperative history was uneventful. Both recent and former laparotomies in the lower abdomen represent a possible risk when suction lipoplasty is performed. An ultrasonographic or computed tomographic scan of the abdominal wall would identify or rule out any underlying fascial defect or hernia.
对于未接受过手术的患者，吸脂腹壁成形术被认为是一种安全的手术，局部和全身并发症的发生率较低。然而，吸脂腹壁成形术联合全腹壁成形术仍存在争议，局部并发症发生率较高。一名56岁女性，有4次剖腹手术和2次腹壁成形术史，在门诊吸脂腹壁成形术后因腹痛和腹膜炎体征入院。在因腹膜炎进行剖腹手术时，发现腹壁僵硬、纤维化，与肠道有大量粘连。两个小肠穿孔导致腹腔污染。切除穿孔的肠段，术后恢复顺利。在下腹部进行近期和既往的剖腹手术都代表了进行吸脂腹壁成形术时可能存在的风险。腹壁的超声或计算机断层扫描可以识别或排除任何潜在的筋膜缺损或疝气。
