Abdominoplasty continues to be a protected and efficient process, with extra circumstances carried out on an outpatient foundation and elevated use of concomitant liposuction, based on a brand new 16-year analysis in Plastic and Reconstructive Surgical procedure.
“Making the most of quality-improvement knowledge submitted by US Board-certified plastic surgeons, our research gives new perception on the evolution of the abdominoplasty method,” says lead writer Michael J. Stein, MD, MAS, FRCSC, FACS of Lenox Hill Hospital, New York, N.Y.
Shifts in ‘tummy tuck’ methods and outcomes from 2005 to 2021
Abdominoplasty—typically referred to as “tummy tuck”—is a beauty surgical process to enhance the looks of the stomach. In 2022, ASPS Member Surgeons carried out almost 162,000 abdominoplasty procedures, according to ASPS statistics.
To evaluate the evolution of observe patterns and surgical methods, Dr. Stein and colleagues analyzed knowledge from the Steady Certification means of the American Board of Plastic Surgical procedure (ABPS). In that course of, plastic surgeons submit data on particular “tracer procedures” as proof of ongoing enchancment in scientific observe.
The researchers analyzed knowledge on 8,990 abdominoplasty circumstances submitted by 390 ABPS-certified plastic surgeons between 2005 and 2021. To evaluate tendencies over time, circumstances have been divided into early (2005-14) and up to date (2015-21) cohorts.
The research interval noticed an elevated charge of outpatient abdominoplasty, with out an in a single day hospital keep, from 77% to 81%, and elevated use of heparin to forestall blood clot-related problems. Sufferers handled extra lately have been extra more likely to endure a number of surgical procedures, notably liposuction, to cut back fats within the belly tissue flap.
‘Abdominoplasty stays a protected and dependable process’
Different technical modifications included decreased use of vast tissue undermining, vertical plication of the stomach, and postoperative surgical drains—though all these methods continued for use in most abdominoplasty circumstances. The researchers word that whereas the noticed modifications are statistically important, they’re “finest appreciated as constructive or damaging observe tendencies between cohorts, slightly than clinically important modifications in observe.”
“Abdominoplasty stays a protected and dependable process over the research interval, with a slight however statistically important lower in adversarial occasions within the latest cohort,” Dr. Stein and co-authors conclude. “Cautious pre-operative analysis of sufferers ought to determine danger components that enhance the danger of problems.”
Senior writer and previous ASPS President Dr. Alan Matarasso of Manhattan Eye, Ear and Throat Hospital has contributed to related opinions utilizing ABPS Steady Certification knowledge for different “tracer” procedures—most lately together with a report on trends in cosmetic breast augmentation. Fellow authors embody Drs. Arun Gosain and Peter Rubin.
Dr. Matarasso says, “Whereas not with out potential sources of bias, using ABPS Steady Certification knowledge—with obligatory reporting of huge numbers of widespread procedures by Board-certified plastic surgeons—gives distinctive insights into tendencies in surgical observe and benchmarks to tell additional security and high quality enchancment efforts.”
Michael J. Stein et al, Medical Apply Patterns and Proof-Primarily based Drugs in Abdominoplasty: 16-12 months Evaluation of Steady Certification Tracer Knowledge from the American Board of Plastic Surgical procedure, Plastic & Reconstructive Surgical procedure (2023). DOI: 10.1097/PRS.0000000000010500
Tendencies in abdominoplasty: Extra outpatient surgical procedure and concomitant liposuction (2023, December 22)
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