Evidence Based Medicine: Abdominoplasty

Learning Objectives: After studying this article, the participant will be able to: 1. Differentiate between techniques for standard abdominoplasty and lipoabdominoplasty. 2. Assess patients for risk associated with abdominoplasty alone and combined with other procedures. 3. Implement newer modalities for abdominoplasty perioperative pain management. 4. Better understand the implications and techniques for rectus diastasis correction by rectus sheath plication. 5 .Understand the evidence for eliminating the need for drains in abdominoplasty. Summary: This update to past MOC articles offers new perspectives, and builds on past knowledge, regarding patient assessment, perioperative management, surgical execution, and complications of abdominoplasty. Financial Disclosure: The author did not receive any funding for writing this manuscript and has no relevant financial disclosures in any of the products, devices, or drugs mentioned in this manuscript. ACKNOWLEDGEMENT: The author would like to thank Kyle Miller, MD, MBA for providing the illustrations in this manuscript. Abbreviations Used: BMI (Body Mass Index), COPD (Chronic Obstructive Pulmonary Disease), IAP (Intra-Abdominal Pressure), MOC (Maintenance of Certification), MRI (Magnetic Resonance Imaging), NSAID (Non-Steroidal Anti-Inflammatory Drug), NSQIP (National Surgical Quality Improvement Project), PTS (Progressive Tension Sutures), QS (Quilting Sutures), RCT (Randomized Controlled Trial), TAPB (Transversus Abdominis Plane Block), TOPS (Tracking Operations and Outcomes for Plastic Surgeons), VTE (Venus Thromboembolic event, includes deep venous thrombosis and pulmonary embolism) Corresponding Author: Karol A Gutowski, M.D., F.A.C.S., 908 W Armitage, Chicago, IL 60614, Karol@DrGutowski.com ©2017American Society of Plastic Surgeons

http://ift.tt/2kaCTXt