Safety issues in combined gynecologic and plastic surgical procedures

Area of Science:

• Gynecologic Surgery
• Plastic Surgery
• Patient Safety

Background:

• Combined gynecologic and plastic surgery procedures are increasingly common.
• This approach reduces the number of general anesthetics and shortens recovery times.
• Patient safety remains the primary concern in these combined procedures.

Purpose of the Study:

• To review the safety issues associated with combined gynecologic and abdominal plastic surgery.
• To provide recommendations for optimizing patient safety and aesthetic outcomes.
• To evaluate a comprehensive approach to managing patients undergoing these combined procedures.

Main Methods:

• A MEDLINE search was conducted from 1980 to 2007.
• Articles on combined gynecologic surgery with abdominal plastic procedures (abdominoplasty, panniculectomy, abdominal liposuction) were reviewed.
• The authors' management approach was evaluated.

Main Results:

• Unique safety considerations exist for each combination of procedures.
• Recommendations are provided for maximizing aesthetic results and patient safety.
• Detailed discussion covers preoperative planning, intraoperative concerns, and postoperative care.

Conclusions:

• Combined plastic and gynecologic procedures can be safely performed in select patients.
• A team approach and adherence to outlined strategies minimize complications.
• Optimizing patient safety and aesthetic outcomes is achievable.