MOC-PS(SM) CME article: abdominoplasty.

Plast Reconstr Surg 121(4 Suppl):1-11 (2008) PMID 18379384

LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Understand the reasoning behind obtaining a thorough medical history from abdominoplasty patients and determine how that information (e.g., history of massive weight loss, prior operations with abdominal scars) may affect the surgical plan. 2. Understand the thromboembolic risks associated with abdominoplasty patients, especially when abdominoplasty is performed in conjunction with other surgical procedures, and appropriate and currently accepted prophylaxis. 3. Describe the indications and potential risks of performing liposuction as an adjunct to abdominoplasty. 4. Evaluate a patient's abdomen, taking into consideration all the aesthetic subunits of the trunk and lower body, and determine the appropriate type of abdominoplasty indicated. 5. Identify and understand the treatment of early and late complications associated with abdominoplasty. SUMMARY: In this article, the authors review the preoperative assessment, surgical treatment plan, and outcomes of abdominoplasty. Preoperative assessment emphasizes obtaining an accurate and detailed medical history, conducting a thorough physical examination, and determining suitable and safe anesthetic options in appropriate surgical facilities. Preoperative planning stresses measures taken to minimize perioperative complications, and intraoperative planning reviews the various surgical techniques. Postoperative complications and their treatments are discussed, as well as the safety of combining abdominoplasty with other procedures. Current procedural terminology is also reported, since there have been recent changes to those codes commonly used in abdominoplasty.