Assessing the safety and efficacy of combined abdominoplasty and gynecologic surgery

Ann Plast Surg. 2011 Sep;67(3):272-4. doi: 10.1097/SAP.0b013e3181f9b245.

Abstract

Background: Combined surgery is an attractive option for both patients and surgeons. Unfortunately, it remains unclear to patients whether plastic surgery can be combined safely and efficaciously with other surgeries, particularly gynecologic surgery. The goal of this study was to determine the safety and efficacy of combined abdominoplasty and gynecologic surgery.

Methods: A case-control study of 25 patients undergoing combined abdominoplasty and intra-abdominal gynecologic surgery was performed. These combined patients were compared with control group patients undergoing abdominoplasty alone and gynecologic surgery alone. Demographic data, operative time, estimated blood loss, pre- and postoperative hemoglobin, length of hospitalization, and complications were compared between combined and control groups.

Results: Statistically significant reductions were seen in operative time, estimated blood loss, and total days of hospitalization when comparing the combined group to the sum of the control groups. In this study, no major complications, including the need for blood transfusion or pulmonary embolus, were noted in any of the patients.

Conclusions: These results demonstrate success in performing abdominoplasty with gynecologic surgery, which may be an acceptable option for patients.

MeSH terms

  • Abdomen / surgery*
  • Adult
  • Blood Loss, Surgical / statistics & numerical data
  • Case-Control Studies
  • Cosmetic Techniques* / adverse effects
  • Female
  • Gynecologic Surgical Procedures* / adverse effects
  • Hemoglobins / analysis
  • Humans
  • Hysterectomy
  • Length of Stay / statistics & numerical data
  • Middle Aged
  • Ovariectomy
  • Postoperative Complications / epidemiology
  • Salpingectomy

Substances

  • Hemoglobins