Safety issues in combined gynecologic and plastic surgical procedures

Abstract Objectives The combination of gynecologic and plastic surgery procedures in a single surgical setting is becoming increasingly common because it reduces the number of general anesthetics and shortens overall recovery time. The primary concern should be patient safety. Methods A MEDLINE sear...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics 2007-12, Vol.99 (3), p.257-263
Main Authors: Kryger, Z.B., Dumanian, G.A., Howard, M.A.
Format: Article
Language:English
Subjects:
Abdominal Fat - surgery
Abdominal Muscles - surgery
Abdominoplasty
Biological and medical sciences
Combined procedures
Female
Gynecologic surgery
Gynecologic Surgical Procedures - adverse effects
Gynecologic Surgical Procedures - methods
Gynecology. Andrology. Obstetrics
Humans
Medical sciences
Obesity - complications
Obesity - surgery
Obstetrics and Gynecology
Panniculectomy
Patient safety
Plastic surgery
Postoperative Care
Stomach, duodenum, intestine, rectum, anus
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Surgery, Plastic - adverse effects
Surgery, Plastic - methods
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Summary:Abstract Objectives The combination of gynecologic and plastic surgery procedures in a single surgical setting is becoming increasingly common because it reduces the number of general anesthetics and shortens overall recovery time. The primary concern should be patient safety. Methods A MEDLINE search from 1980 to 2007 was conducted. Articles addressing combined gynecologic surgery with one of the various plastic surgical procedures of the abdomen (abdominoplasty, panniculectomy, and abdominal liposuction) were reviewed. The authors' comprehensive approach to the management of these patients was evaluated. Results A unique set of safety issues exists depending on the specific combination of procedures. A review of the literature is discussed, as well as recommendations for maximizing the aesthetic outcomes while optimizing patient safety. Preoperative planning, intraoperative concerns, and postoperative care are all addressed in detail. Conclusions Using a team approach and employing the outlined strategies to minimize complications, combined plastic and gynecologic procedures can be performed safely in appropriate patients.
ISSN:0020-7292
1879-3479
DOI:10.1016/j.ijgo.2007.05.028