| Increased Intraoperative Bleeding in Patients Undergoing Abdominoplasty After Gastroplasty is not Due to Coagulopathy. | |
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MedLine Citation:
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PMID: 23052380 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND: Abdominoplasties carried out in patients previously underwent gastroplasty present high rates of complications, including increased bleeding in the intra- and postoperative periods. METHODS: This study evaluated bleeding, coagulation parameters (coagulogram, dosage of fibrinogen, FII, FV, FVII, FVIII, FIX, FX, and FXII), and thromboelastography in two groups of women who underwent abdominoplasties: a group with a history of gastroplasty by the Fobi-Capella technique (group I) and the other group without a history of obesity (group II). Analyses were performed before, during, and after each surgical procedure. Vitamins K and C were also dosed. Bleeding was measured by counting and weighing compresses at the end of each surgery, and the withdrawn surgical specimens were weighed. RESULTS: Statistically, group I patients had more bleeding than group II in all evaluated operative periods (p = 0.007). There was no significant change in the coagulogram or decrease in coagulation factors that could be associated with increased bleeding in any of the analyzed groups. Thromboelastography, which provides a comprehensive analysis of thrombin generation and of hemostasis in real time, did not differ between groups. Vitamin K was significantly increased in group I patients (p = 0.019). The weight of the surgical specimens removed was significantly higher in group I (p = 0.007) and there was correlation of the weight with the degree of bleeding. CONCLUSIONS: The results of this study demonstrate an increase of bleeding during the intraoperative period of abdominoplasty in patients with a history of gastroplasty that it is not due to changes in hemostasis. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 . |
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Authors:
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Luís Ricardo Martinhão Souto; Elinton Adami Chaim; Rafael Cremonini Barbosa; Joyce Maria Annichino Bizzacchi |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-10-6 |
Journal Detail:
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Title: Aesthetic plastic surgery Volume: - ISSN: 1432-5241 ISO Abbreviation: Aesthetic Plast Surg Publication Date: 2012 Oct |
Date Detail:
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Created Date: 2012-10-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7701756 Medline TA: Aesthetic Plast Surg Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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School of Medical Sciences, Universidade de Marília (UNIMAR), Av. Rio Branco, 1132, Cj. 41, Alto Cafezal, Marília, SP, 17502-000, Brazil, lrmsouto@yahoo.com.br. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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