Persistent Pain and Sensory Abnormalities after Abdominoplasty

Area of Science:

• Plastic Surgery
• Pain Medicine
• Patient Outcomes

Background:

• Persistent postsurgical pain is a known complication of various surgeries.
• The incidence and characteristics of pain after cosmetic procedures like abdominoplasty are less understood.
• Abdominoplasty is a frequently performed cosmetic surgical procedure.

Purpose of the Study:

• To investigate the incidence and characteristics of persistent pain following abdominoplasty.
• To assess sensory abnormalities, physical and psychological function, and patient satisfaction after abdominoplasty.

Main Methods:

• A web-based questionnaire was sent to patients who underwent abdominoplasty between 2006 and 2014.
• The questionnaire assessed pain, sensory abnormalities, physical/psychological function, and surgical satisfaction.
• Data were collected from patients at the Department of Plastic Surgery, Aalborg University Hospital, Denmark.

Main Results:

• Out of 170 respondents, 8.2% reported pain related to abdominoplasty.
• Abnormal abdominal skin sensation was reported by 81% of patients and associated with pain.
• Patient satisfaction was high (88%), with most reporting functional improvements, but pain negatively impacted satisfaction and willingness to recommend.

Conclusions:

• Abdominoplasty generally leads to high patient satisfaction and functional improvement.
• A significant risk of developing persistent neuropathic pain exists after abdominoplasty.
• Informed consent regarding potential pain complications is crucial for patients considering abdominoplasty.