Large necrosis: a rare complication of medial thighplasty.
Identifieur interne : 000222 ( France/Analysis ); précédent : 000221; suivant : 000223Large necrosis: a rare complication of medial thighplasty.
Auteurs : N. Bertheuil [France] ; S. Aillet ; J L Heusse ; E. Flecher ; E. WatierSource :
- Aesthetic plastic surgery [ 1432-5241 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte, Cicatrisation de plaie, Cuisse (anatomopathologie), Débridement, Femelle, Graisse sous-cutanée (), Humains, Lambeaux chirurgicaux (), Lambeaux chirurgicaux (anatomopathologie), Nécrose, Procédures chirurgicales dermatologiques, Procédures de chirurgie reconstructive (effets indésirables), Réintervention.
- MESH :
- anatomopathologie : Cuisse, Lambeaux chirurgicaux.
- effets indésirables : Procédures de chirurgie reconstructive.
- Adulte, Cicatrisation de plaie, Débridement, Femelle, Graisse sous-cutanée, Humains, Lambeaux chirurgicaux, Nécrose, Procédures chirurgicales dermatologiques, Réintervention.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Reconstructive Surgical Procedures.
- blood supply : Surgical Flaps.
- pathology : Surgical Flaps, Thigh.
- surgery : Subcutaneous Fat.
- Adult, Debridement, Dermatologic Surgical Procedures, Female, Humans, Necrosis, Reoperation, Wound Healing.
Abstract
Obesity is a major public health problem in Western societies. After failure of diet and exercise, patients can have bariatric surgery. Weight loss causes excess skin on the body, including the thighs. This leads to difficulty walking and psychological disorders such as devalued self-image. Medial thighplasty is an intervention to reduce excess skin and fat in the thighs. The main complications are scar migration, scar infection, hematoma, lymphedema, gaping vulva, and, rarely, skin necrosis. We describe a case of flap necrosis after a reoperation of medial thighplasty. Treatment included debridement of necrotic tissue and healing of the wound by secondary intention (vacuum-assisted closure and dressings with calcium alginate). Complete healing was achieved in 4 months. As the patient refused any new procedure, skin grafting was not performed. The aesthetic results of plastic surgery procedures are often imperfect. Patients should be clearly prepared and informed about the results expected from the operation. Surgeons should know contraindications for reoperation.
DOI: 10.1007/s00266-011-9752-6
PubMed: 21607533
Affiliations:
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pubmed:21607533Le document en format XML
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Bertheuil</name><affiliation wicri:level="3"><nlm:affiliation>Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital Sud, 16 Boulevard de Bulgarie, 35200, Rennes, France. nbertheuil@gmail.com</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital Sud, 16 Boulevard de Bulgarie, 35200, Rennes</wicri:regionArea><placeName><region type="region" nuts="2">Région Bretagne</region><settlement type="city">Rennes</settlement></placeName></affiliation></author><author><name sortKey="Aillet, S" sort="Aillet, S" uniqKey="Aillet S" first="S" last="Aillet">S. Aillet</name></author><author><name sortKey="Heusse, J L" sort="Heusse, J L" uniqKey="Heusse J" first="J L" last="Heusse">J L Heusse</name></author><author><name sortKey="Flecher, E" sort="Flecher, E" uniqKey="Flecher E" first="E" last="Flecher">E. Flecher</name></author><author><name sortKey="Watier, E" sort="Watier, E" uniqKey="Watier E" first="E" last="Watier">E. Watier</name></author></analytic><series><title level="j">Aesthetic plastic surgery</title><idno type="eISSN">1432-5241</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Debridement</term><term>Dermatologic Surgical Procedures</term><term>Female</term><term>Humans</term><term>Necrosis</term><term>Reconstructive Surgical Procedures (adverse effects)</term><term>Reoperation</term><term>Subcutaneous Fat (surgery)</term><term>Surgical Flaps (blood supply)</term><term>Surgical Flaps (pathology)</term><term>Thigh (pathology)</term><term>Wound Healing</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Cicatrisation de plaie</term><term>Cuisse (anatomopathologie)</term><term>Débridement</term><term>Femelle</term><term>Graisse sous-cutanée ()</term><term>Humains</term><term>Lambeaux chirurgicaux ()</term><term>Lambeaux chirurgicaux (anatomopathologie)</term><term>Nécrose</term><term>Procédures chirurgicales dermatologiques</term><term>Procédures de chirurgie reconstructive (effets indésirables)</term><term>Réintervention</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Reconstructive Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Cuisse</term><term>Lambeaux chirurgicaux</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Surgical Flaps</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Procédures de chirurgie reconstructive</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Surgical Flaps</term><term>Thigh</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Subcutaneous Fat</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Debridement</term><term>Dermatologic Surgical Procedures</term><term>Female</term><term>Humans</term><term>Necrosis</term><term>Reoperation</term><term>Wound Healing</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Cicatrisation de plaie</term><term>Débridement</term><term>Femelle</term><term>Graisse sous-cutanée</term><term>Humains</term><term>Lambeaux chirurgicaux</term><term>Nécrose</term><term>Procédures chirurgicales dermatologiques</term><term>Réintervention</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Obesity is a major public health problem in Western societies. After failure of diet and exercise, patients can have bariatric surgery. Weight loss causes excess skin on the body, including the thighs. This leads to difficulty walking and psychological disorders such as devalued self-image. Medial thighplasty is an intervention to reduce excess skin and fat in the thighs. The main complications are scar migration, scar infection, hematoma, lymphedema, gaping vulva, and, rarely, skin necrosis. We describe a case of flap necrosis after a reoperation of medial thighplasty. Treatment included debridement of necrotic tissue and healing of the wound by secondary intention (vacuum-assisted closure and dressings with calcium alginate). Complete healing was achieved in 4 months. As the patient refused any new procedure, skin grafting was not performed. The aesthetic results of plastic surgery procedures are often imperfect. Patients should be clearly prepared and informed about the results expected from the operation. Surgeons should know contraindications for reoperation.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Région Bretagne</li></region><settlement><li>Rennes</li></settlement></list><tree><noCountry><name sortKey="Aillet, S" sort="Aillet, S" uniqKey="Aillet S" first="S" last="Aillet">S. Aillet</name><name sortKey="Flecher, E" sort="Flecher, E" uniqKey="Flecher E" first="E" last="Flecher">E. Flecher</name><name sortKey="Heusse, J L" sort="Heusse, J L" uniqKey="Heusse J" first="J L" last="Heusse">J L Heusse</name><name sortKey="Watier, E" sort="Watier, E" uniqKey="Watier E" first="E" last="Watier">E. Watier</name></noCountry><country name="France"><region name="Région Bretagne"><name sortKey="Bertheuil, N" sort="Bertheuil, N" uniqKey="Bertheuil N" first="N" last="Bertheuil">N. Bertheuil</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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