The Safety of Abdominal Contouring in the Presence of a Gastric Band
Background:. Gastric bands, specifically the Lap-Band, have been widely used for weight loss. However, little is known about the complications associated with abdominal contouring procedures in patients with Lap-Bands. This study aimed to determine the complication rates and consent processes for th...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-11-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005421 |
| _version_ | 1797449482824056832 |
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| author | Stephen D. Bresnick, MD Carlito Lagman, MD |
| author_facet | Stephen D. Bresnick, MD Carlito Lagman, MD |
| author_sort | Stephen D. Bresnick, MD |
| collection | DOAJ |
| description | Background:. Gastric bands, specifically the Lap-Band, have been widely used for weight loss. However, little is known about the complications associated with abdominal contouring procedures in patients with Lap-Bands. This study aimed to determine the complication rates and consent processes for these procedures.
Methods:. We conducted a survey study of 300 members of the American Society of Aesthetic Plastic Surgery. Commonly performed abdominal contouring procedures included abdominal liposuction, abdominoplasty, and combined abdominoplasty with abdominal liposuction.
Results:. The overall infection rate was low (1%) and did not significantly differ between the procedural groups. Abdominoplasty and combined liposuction with abdominoplasty had significantly higher complication rates (4.7% and 10.5%, respectively) than liposuction alone (1%, P = 0.0004). Abdominoplasty procedures also had higher rates of port/tubing malposition (2.3%, P = 0.04) and system leaks (1.6%, P = 0.003). Approximately 59% of plastic surgeons provided written or dictated consent as part of the standard procedural consent to address the presence of the Lap-Band, whereas 8% of plastic surgeons provided a separate written or printed signed consent specifically related to the procedure in the presence of a Lap-Band.
Conclusions:. Our study supports the relative safety of aesthetic abdominal contouring procedures in patients with gastric bands but highlights the increased risk of complications in the presence of a Lap-Band. Surgeons should use careful dissection techniques to minimize complications and consider involving a bariatric surgeon, especially with abdominoplasty procedures. Surgical consent should explicitly outline the risks identified in this study to ensure that patients are fully informed. |
| first_indexed | 2024-03-09T14:26:44Z |
| format | Article |
| id | doaj.art-49ad7b0924374898a3d62ee56a5ab72f |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-03-09T14:26:44Z |
| publishDate | 2023-11-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-49ad7b0924374898a3d62ee56a5ab72f2023-11-28T07:10:12ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-11-011111e542110.1097/GOX.0000000000005421202311000-00053The Safety of Abdominal Contouring in the Presence of a Gastric BandStephen D. Bresnick, MD0Carlito Lagman, MD1From Encino Surgicenter, Los Angeles, Calif.From Encino Surgicenter, Los Angeles, Calif.Background:. Gastric bands, specifically the Lap-Band, have been widely used for weight loss. However, little is known about the complications associated with abdominal contouring procedures in patients with Lap-Bands. This study aimed to determine the complication rates and consent processes for these procedures. Methods:. We conducted a survey study of 300 members of the American Society of Aesthetic Plastic Surgery. Commonly performed abdominal contouring procedures included abdominal liposuction, abdominoplasty, and combined abdominoplasty with abdominal liposuction. Results:. The overall infection rate was low (1%) and did not significantly differ between the procedural groups. Abdominoplasty and combined liposuction with abdominoplasty had significantly higher complication rates (4.7% and 10.5%, respectively) than liposuction alone (1%, P = 0.0004). Abdominoplasty procedures also had higher rates of port/tubing malposition (2.3%, P = 0.04) and system leaks (1.6%, P = 0.003). Approximately 59% of plastic surgeons provided written or dictated consent as part of the standard procedural consent to address the presence of the Lap-Band, whereas 8% of plastic surgeons provided a separate written or printed signed consent specifically related to the procedure in the presence of a Lap-Band. Conclusions:. Our study supports the relative safety of aesthetic abdominal contouring procedures in patients with gastric bands but highlights the increased risk of complications in the presence of a Lap-Band. Surgeons should use careful dissection techniques to minimize complications and consider involving a bariatric surgeon, especially with abdominoplasty procedures. Surgical consent should explicitly outline the risks identified in this study to ensure that patients are fully informed.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005421 |
| spellingShingle | Stephen D. Bresnick, MD Carlito Lagman, MD The Safety of Abdominal Contouring in the Presence of a Gastric Band Plastic and Reconstructive Surgery, Global Open |
| title | The Safety of Abdominal Contouring in the Presence of a Gastric Band |
| title_full | The Safety of Abdominal Contouring in the Presence of a Gastric Band |
| title_fullStr | The Safety of Abdominal Contouring in the Presence of a Gastric Band |
| title_full_unstemmed | The Safety of Abdominal Contouring in the Presence of a Gastric Band |
| title_short | The Safety of Abdominal Contouring in the Presence of a Gastric Band |
| title_sort | safety of abdominal contouring in the presence of a gastric band |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005421 |
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