Bibliographic Details
| Title: |
Complicaciones en cirugía avanzada de contorno corporal: lipoabdominoplastía, lipoinyección, remodelación costal y tecnologías complementarias. |
| Alternate Title: |
Complications in advanced body contouring surgery: lipoabdominoplasty, lipoinjection, rib remodeling and complementary technologies. |
| Authors: |
Domínguez-Contreras, Carlos1 contacto@drdominguez.cl, González-Arestizabal, Tomás1, Kohnenkampf-Cid, Ruth A.1, Peña, Tomás1 |
| Source: |
Revista de Cirugia. 2026, Vol. 78 Issue 3, p267-275. 9p. |
| Abstract (English): |
Background: Advanced body contouring surgery has grown steadily worldwide, driven by sociocultural changes and the increasing population of post-bariatric patients. Current approaches integrate liposuction, abdominoplasty, skin-tightening technologies, and, in selected cases, rib remodeling. The aim of this study was to compare abdominoplasty techniques used in advanced body contouring and analyze their associated complications. Methods: A retrospective, single-center, descriptive-analytical study (level of evidence IV) was conducted including 202 consecutive patients operated between September 2023 and January 2025 (ASA I–II, BMI < 30). Demographic data, surgical techniques, complementary procedures, and predefined complications (seroma, minor/major dehiscence, necrosis, infection, and hematoma) were recorded. Chi-square tests and adjusted logistic regression were performed for risk analysis. Results: The cohort was predominantly female (98.5%), with a mean age of 39.6 years and mean BMI of 25.1 kg/m². Post-bariatric patients accounted for 20.8%, and 27.7% suspended smoking perioperatively. All procedures incorporated Vaser®, Microaire®, and Renuvion® technologies; 33 patients underwent rib remodeling (RibXcar). Abdominoplasty techniques included extended (53.5%), circumferential (37.1%), fleur-de-lis (5.9%), traditional (2%), and reverse (1.5%). The most frequent complications were wound dehiscence (34.2%; major 2.4%) and seroma (16.3%). Necrosis occurred at 4%, infection at 2%, and hematoma at 1%. Blood transfusion was required in 7..9%, and deep vein thrombosis occurred in 1%, with no pulmonary embolism. No significant differences in complication rates were observed among abdominoplasty techniques. In multivariate analysis, BMI was independently associated with seroma risk (adjusted OR 1.42 per BMI unit). Conclusions: Advanced body contouring surgery combining extensive liposuction, tailored abdominoplasty, and complementary technologies can be performed with a safety profile comparable to conventional body contouring in carefully selected patients. Residual BMI emerged as a relevant factor for seroma risk stratification. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
Introducción: La cirugía de contorno corporal avanzado ha aumentado de forma sostenida, impulsada por cambios socioculturales y por el crecimiento de la cirugía bariátrica, generando una mayor demanda de procedimientos combinados que integran liposucción, abdominoplastía y tecnologías complementarias. El objetivo de este estudio fue comparar los tipos de abdominoplastía empleados en contorno corporal avanzado y analizar sus complicaciones asociadas. Material y Método: Estudio retrospectivo, unicéntrico, descriptivo-analítico (nivel de evidencia IV). Se incluyeron 202 pacientes consecutivos operados entre septiembre de 2023 y enero de 2025 (ASA I–II, IMC < 30). Se registraron antecedentes, técnica de abdominoplastía, procedimientos complementarios y complicaciones: seroma, dehiscencia menor/mayor, necrosis, infección y hematoma. Se empleó χ² y regresión logística ajustada. Resultados: La cohorte fue predominantemente femenina (98,5%), con edad media 39,6 años e IMC promedio 25,1 kg/m². Un 20,8% era postbariátrica y 27,7% con tabaquismo suspendido perioperatorio. Se realizaron procedimientos con Vaser®, Microaire® y Renuvion® en todos los casos; 33 pacientes recibieron remodelación costal (RibXcar). Las técnicas de abdominoplastía fueron: extendida 53,5%, circunferencial 37,1%, flor de lis 5,9%, tradicional 2% y reversa 1,5%. Las complicaciones más frecuentes fueron dehiscencia (34,2%) y seroma (16,3%); necrosis 4%, infección 2% y hematoma 1%. La transfusión ocurrió en 7,9% y la trombosis venosa profunda (TVP) en 1%, sin tromboembolismo. No hubo diferencias significativas de complicaciones entre técnicas. En el análisis multivariado, el IMC se asoció independientemente con seroma (OR ajustada 1,42 por punto). Conclusión: El contorno corporal avanzado puede realizarse con un perfil de seguridad comparable a series tradicionales en pacientes seleccionados. El IMC residual emerge como variable relevante para estratificación de riesgo de seroma. [ABSTRACT FROM AUTHOR] |
|
Copyright of Revista de Cirugia is the property of Sociedad de Cirujanos de Chile and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| Database: |
MedicLatina |
