Document Detail


Increased intraoperative bleeding in patients undergoing abdominoplasty after gastroplasty is not due to coagulopathy.
MedLine Citation:
PMID:  23052380     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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 Bleeding was measured by counting and weighing compresses at the end of each surgery, and the withdrawn surgical specimens were weighed.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 .
Authors:
Luís Ricardo Martinhão Souto; Elinton Adami Chaim; Rafael Cremonini Barbosa; Joyce Maria Annichino Bizzacchi
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-10-06
Journal Detail:
Title:  Aesthetic plastic surgery     Volume:  36     ISSN:  1432-5241     ISO Abbreviation:  Aesthetic Plast Surg     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-29     Completed Date:  2013-05-13     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  7701756     Medline TA:  Aesthetic Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1283-91     Citation Subset:  IM    
Affiliation:
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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MeSH Terms
Descriptor/Qualifier:
Abdominoplasty*
Adult
Blood Coagulation Disorders
Blood Loss, Surgical*
Female
Gastroplasty*
Humans
Intraoperative Complications / etiology
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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