Objective
The purpose of this study was to address the safety of combining aesthetic and pelvic
floor reconstructive procedures.
Study Design
Fifty-four subjects were included in a case-control study; 18 patients undergoing
combined pelvic and plastic reconstructive surgery, age and procedure matched to 18
pelvic surgery and 18 plastic surgery only controls. Chi-square, t test, and Kruskal-Wallis analysis were used to compare the estimated blood loss (EBL),
body mass index (BMI), hospital days, operative times, and complications between the
groups.
Results
No differences were seen with regards to age, BMI, or EBL. There was, however, a significant
increase in minor complications and hospital stay after combined procedures relative
to the pelvic surgery control group but not the aesthetic control group. Operative
times were only greater during combined procedures relative to isolated pelvic floor
procedures.
Conclusion
Combining pelvic and aesthetic procedures may increase complications, operative times,
and length of hospital stay when compared to pelvic reconstructive surgery alone.
Key words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to American Journal of Obstetrics & GynecologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Safety of combining abdominoplasty and total abdominal hysterectomy.Ann Plast Surg. 2005; 54: 390-392
- Abdominoplasty combined with other major surgical procedures: safe or sorry?.Plast Reconstr Surg. 1989; 83: 997-1004
- Abdominoplasty combined with gynecologic surgical procedures.Obstet Gynecol. 1986; 67: 181-185
- Combined plastic and gynecological surgical procedures.Ann Plast Surg. 1988; 20: 552-557
- Abdominoplasty combined with other intraabdominal procedures.Ann Plast Surg. 1992; 29: 18-22
- Abdominoplasty combined with total abdominal hysterectomy.Ann Plast Surg. 1986; 16: 121-124
- The safety and efficacy of extensive abdominal panniculectomy at the time of pelvic surgery.Gynecol Oncol. 1994; 55: 36-40
- Panniculectomy at the time of gynecologic surgery in morbidly obese patients.Am J Obstet Gynecol. 2000; 182: 1502-1505
- Abdominoplasty combined with other surgical procedures.Plast Reconstr Surg. 1982; 70: 437
- Abdominoplasty with celiotomy: evaluation and technique.Int Surg. 1983; 68: 75
- Classification of surgical complications.Ann Surg. 2004; 240: 205-209
- Late erosion rates of mid-urethral tapes for stress urinary incontinence.Int Urogynecol J. 2007; 18: 1113-1114
- How common are tape erosions: a comparison of two versions.BJU International. 2006; 98: 594-598
- Abdominoplasty assessed by survey, with emphasis on complications.Plast Reconstr Surg. 1977; 59: 513
Article info
Publication history
Published online: October 10, 2008
Accepted:
July 21,
2008
Received in revised form:
January 15,
2008
Received in revised form:
May 19,
2008
Footnotes
Cite this article as: Craig JB, Noblett KL, Conner CA, et al. Reconstructive pelvic surgery and plastic surgery: safety and efficacy of combined surgery. Am J Obstet Gynecol 2008;199:701.e1-701.e5.
Identification
Copyright
© 2008 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
