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Related Experiment Video

Updated: May 20, 2025

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
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Long Drainers After Abdominoplasty: A Risk Analysis.

Margarida Alves1, Margarida Mendes2,3, Rita Valença-Filipe2

  • 1Centro Hospitalar de Setúbal, Setúbal, Portugal.

Aesthetic Plastic Surgery
|March 25, 2025
PubMed
Summary

Identifying risk factors for prolonged drain use after abdominoplasty is crucial for patient recovery. High BMI, previous bariatric surgery, and larger specimen weight are key indicators for longer drain duration.

Keywords:
Classical abdominoplastyLong drainersRisk factorsSuction drains

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Area of Science:

  • Plastic Surgery
  • Surgical Outcomes
  • Patient Recovery

Background:

  • Suction drains are standard for reducing abdominoplasty complications.
  • Prolonged drain use (Long drainers) is linked to patient discomfort, limited mobility, and delayed recovery.
  • The clinical profile of patients with prolonged drain use remains under-investigated.

Purpose of the Study:

  • To identify specific risk factors associated with an increased number of days requiring suction drains after abdominoplasty.
  • To characterize the patient profile of 'Long drainers' (≥6 days with drains).

Main Methods:

  • A retrospective observational study involving patients who underwent classical abdominoplasty.
  • Patients were categorized into 'Long drainers' (≥6 days) and 'Short drainers' (<6 days).
  • Variables analyzed included age, BMI, comorbidities, previous surgeries, specimen weight, and drain output.

Main Results:

  • 36% of 418 patients were classified as Long drainers.
  • Long drainers showed significantly higher total drain output, longer time to drain removal, higher BMI, and greater specimen weight.
  • Body Mass Index (BMI) ≥28 kg/m², specimen weight ≥750 g, and prior bariatric surgery were significant predictors of prolonged drain use.

Conclusions:

  • A high-risk profile for prolonged drainage includes BMI ≥28 kg/m², prior bariatric procedures, and specimen weight ≥750 g.
  • These factors may warrant specific preventative surgical strategies.
  • Consideration of techniques like quilting sutures or Scarpa sparing abdominoplasty is suggested for high-risk patients.