Large necrosis: a rare complication of medial thighplasty.
Identifieur interne : 002619 ( PubMed/Corpus ); précédent : 002618; suivant : 002620Large necrosis: a rare complication of medial thighplasty.
Auteurs : N. Bertheuil ; S. Aillet ; J L Heusse ; E. Flecher ; E. WatierSource :
- Aesthetic plastic surgery [ 1432-5241 ] ; 2012.
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
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pubmed:21607533Le document en format XML
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Watier</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:21607533</idno><idno type="pmid">21607533</idno><idno type="doi">10.1007/s00266-011-9752-6</idno><idno type="wicri:Area/PubMed/Corpus">002619</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002619</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Large necrosis: a rare complication of medial thighplasty.</title><author><name sortKey="Bertheuil, N" sort="Bertheuil, N" uniqKey="Bertheuil N" first="N" last="Bertheuil">N. Bertheuil</name><affiliation><nlm:affiliation>Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital Sud, 16 Boulevard de Bulgarie, 35200, Rennes, France. nbertheuil@gmail.com</nlm:affiliation></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. 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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><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21607533</PMID><DateCreated><Year>2012</Year><Month>03</Month><Day>02</Day></DateCreated><DateCompleted><Year>2012</Year><Month>06</Month><Day>18</Day></DateCompleted><DateRevised><Year>2012</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-5241</ISSN><JournalIssue CitedMedium="Internet"><Volume>36</Volume><Issue>1</Issue><PubDate><Year>2012</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Aesthetic plastic surgery</Title><ISOAbbreviation>Aesthetic Plast Surg</ISOAbbreviation></Journal><ArticleTitle>Large necrosis: a rare complication of medial thighplasty.</ArticleTitle><Pagination><MedlinePgn>88-90</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00266-011-9752-6</ELocationID><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bertheuil</LastName><ForeName>N</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital Sud, 16 Boulevard de Bulgarie, 35200, Rennes, France. nbertheuil@gmail.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Aillet</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Heusse</LastName><ForeName>J L</ForeName><Initials>JL</Initials></Author><Author ValidYN="Y"><LastName>Flecher</LastName><ForeName>E</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Watier</LastName><ForeName>E</ForeName><Initials>E</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>05</Month><Day>24</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Aesthetic Plast Surg</MedlineTA><NlmUniqueID>7701756</NlmUniqueID><ISSNLinking>0364-216X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003646" MajorTopicYN="N">Debridement</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D062109" MajorTopicYN="Y">Dermatologic Surgical Procedures</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009336" MajorTopicYN="N">Necrosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019651" MajorTopicYN="N">Reconstructive Surgical Procedures</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012086" MajorTopicYN="N">Reoperation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D050151" MajorTopicYN="N">Subcutaneous Fat</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013524" MajorTopicYN="N">Surgical Flaps</DescriptorName><QualifierName UI="Q000098" MajorTopicYN="N">blood supply</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013848" MajorTopicYN="N">Thigh</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014945" MajorTopicYN="N">Wound Healing</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2011</Year><Month>02</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2011</Year><Month>05</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>5</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>5</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>6</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21607533</ArticleId><ArticleId IdType="doi">10.1007/s00266-011-9752-6</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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