Evaluating the Safety of Cosmetic Surgery Procedures Over 6 Hours: Lessons Learned After a 3-Year Retrospective Review and Cohort Comparison

摘要

The safety of performing cosmetic surgery procedures longer than 6 hours continues to be debated. A single board-certified cosmetic surgeon’s 3-year experience with all abdominoplasty procedures was retrospectively analyzed. Combined hysterectomy and abdominoplasty procedures were excluded from this analysis. All procedures were performed in a certified ambulatory surgery center or hospital, and under general anesthesia with additional local and tumescence. Two cohorts were identified (long vs short) consisting of procedures lasting greater than or less than 6 hours. Two-sample equal variance, 2-tailed, t-test statistical analysis was performed to compare the groups and differences in complications. A total of 116 consecutive abdominoplasty procedures were performed between June 2012 and July 2015; of them, 62 cases were “long” (>6 hours) and 54 cases were “short” ( 6 hours) and short ( 30 kg/m~(2)is a significant predictor for complications in cosmetic surgery, both in short and long cases. The incidence of wound dehiscence, seroma, hematoma, and DVT in this series is less than that previously reported in the plastic surgery literature and consistent with more recent abdominoplasty literature.