Atallah S, Albert M, Felix O, Izfar S, Debeche-Adams T, Larach S. The technical approach to laparoscopic colectomy in patients who have undergone prior abdominoplasty.
Tech Coloproctol 2012;
17:111-6. [PMID:
22936583 DOI:
10.1007/s10151-012-0875-9]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2012] [Accepted: 08/06/2012] [Indexed: 01/19/2023]
Abstract
BACKGROUND
For those patients undergoing laparoscopic colorectal surgery who have had prior abdominoplasty, cosmetic outcome is important and the technical considerations for laparoscopy in post-abdominoplasty patients have not been previously addressed. The aim of the present study was to define the technical approach to the post-abdominoplasty patient undergoing laparoscopic colorectal surgery after abdominoplasty.
METHODS
Utilizing the technical approach described, eleven patients underwent laparoscopy after prior abdominoplasty over a 7-year period.
RESULTS
The majority of patients (10/11) felt their laparoscopic colorectal resection had no adverse effect on the aesthetics of their prior abdominoplasty. From a surgeon's standpoint, the only significant challenge was due to the loss of abdominal wall compliance.
CONCLUSIONS
The surgical approach to laparoscopic colectomy in the post-abdominoplasty patient requires careful planning. Cosmetic outcome is a particularly important consideration for this subset of patients, and this should be appreciated by the operating surgeon.
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