Safety and efficacy of outpatient full abdominoplasty

Full abdominoplasty (mobilization of skin flap to the costal margin/xiphoid, umbilical translocation, +/- liposuction) is frequently done as an inpatient procedure. This study evaluated the safety and efficacy of outpatient full abdominoplasty. Thirty-five full abdominoplasties were done: 17 inpatient, and 18 outpatient. No significant outcome differences were noted between the 2 groups. Of the 17 inpatient procedures, 4 complications occurred (24%), 2 minor and 2 major complications (large, open infected wounds). Of the 18 outpatient procedures, 2 minor complications (11%) occurred (urinary retention and wound infection). chi2 Analysis shows no statistical difference in the complications rates. All outpatients reported adequate postoperative pain and nausea control. All but 1 patient in each group was fully or very satisfied with the results. This study demonstrates the safety and efficacy of outpatient full abdominoplasty. Selection criteria and postoperative protocols will be discussed.