Abdominoplasty Workup

  • Author: Allen Gabriel, MD; Chief Editor: Jorge I de la Torre, MD, FACS   more...
 
Updated: Mar 7, 2012
 

Laboratory Studies

The studies below are performed at the surgeon’s discretion. Each institution’s preoperative anesthesia workup protocol should be followed to minimize cancellations.

  • CBC
  • Basic metabolic panel
  • Beta human chorionic gonadotropin (bHCG) level
  • Albumin level, pre-albumin level, and total protein level (if indicated)
  • Prothrombin time (PT), activated partial thromboplastin time (aPTT), international normalized ratio (INR) (if indicated)
  • Urine cotinine level to gauge patient compliance with smoking cessation (if indicated)
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Imaging Studies

Chest radiographs (if indicated)

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Other Tests

If the patient to be operated upon has diabetes mellitus, appropriate tests should be performed to assess glucose control. If the glucose control is poor and levels are greater than 180 mg/dL, surgery should be delayed until the patient’s primary care physician can address the underlying issues and better control the patient’s glucose levels.

At times, if a hernia is encountered, a referral to general surgery is warranted for repair of the hernia at the time of abdominoplasty. If the hernia is periumbilical, then complication (eg, umbilical necrosis) associated with the umbilicus is increased if the surrounding vascularity is compromised. For more information on hernia repair, see Medscape Reference articles Open Inguinal Hernia Repair and Laparoscopic Inguinal Hernia Repair.

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Contributor Information and Disclosures
Author

Allen Gabriel, MD  Assistant Professor, Department of Plastic Surgery, Loma Linda University School of Medicine

Allen Gabriel, MD is a member of the following medical societies: Alpha Omega Alpha, American Medical Association, and California Medical Association

Disclosure: Nothing to disclose.

Coauthor(s)

Subhas Gupta, MD, PhD, CM, FRCSC, FACS  Chief of Surgical Services, Professor of Surgery, Chairman, Department of Plastic Surgery, Director of Plastic Surgery Residency, Director of Comprehensive Wound Service, Department of Plastic Surgery, Loma Linda University School of Medicine

Subhas Gupta, MD, PhD, CM, FRCSC, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Phlebology, American College of Surgeons, American Medical Association, American Medical Informatics Association, American Society of Plastic Surgeons, California Society of Plastic Surgeons, Canadian Medical Association, Canadian Society of Plastic Surgeons, Canadian Society of Plastic Surgeons, College of Physicians and Surgeons of Ontario, Plastic Surgery Research Council, Quebec Medical Association, Royal College of Physicians and Surgeons of Canada, and Wound Healing Society

Disclosure: Nothing to disclose.

Bruce G Freeman, MD, PhD  Chief, Section of Plastic Surgery, Associate Professor, Department of Surgery, Section of Plastic Surgery, West Virginia University School of Medicine

Bruce G Freeman, MD, PhD is a member of the following medical societies: American Medical Association, American Society for Aesthetic Plastic Surgery, American Society for Laser Medicine and Surgery, American Society of Plastic Surgeons, Lipoplasty Society of North America, Southeastern Society of Plastic and Reconstructive Surgeons, and Undersea and Hyperbaric Medical Society

Disclosure: Nothing to disclose.

Specialty Editor Board

Gregory Caputy, MD, PhD, FICS  Chief Surgeon, Aesthetica Plastic and Laser Surgery Center, Inc

Gregory Caputy, MD, PhD, FICS is a member of the following medical societies: American Society for Laser Medicine and Surgery, Canadian Medical Association, International College of Surgeons, International College of Surgeons US Section, Pan-Pacific Surgical Association, and Wound Healing Society

Disclosure: Syneron Corporation Salary Speaking and teaching

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Alan Matarasso, MD, FACS, PC  Clinical Professor of Plastic Surgery, Albert Einstein College of Medicine; Immed Past President of New York Regional Society of Plastic and Reconstructive Surgery

Alan Matarasso, MD, FACS, PC is a member of the following medical societies: American Association of Plastic Surgeons, American College of Surgeons, American Medical Association, International College of Surgeons US Section, New York Academy of Medicine, New York County Medical Society, Pan American Medical Association, and Pan-Pacific Surgical Association

Disclosure: Nothing to disclose.

Nicolas (Nick) G Slenkovich, MD  Director, Colorado Plastic Surgery Center

Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society

Disclosure: Nothing to disclose.

Chief Editor

Jorge I de la Torre, MD, FACS  Professor of Surgery and Physical Medicine and Rehabilitation, Chief, Division of Plastic Surgery, Residency Program Director, University of Alabama at Birmingham School of Medicine; Director, Center for Advanced Surgical Aesthetics

Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Medical Association of the State of Alabama

Disclosure: Nothing to disclose.

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Preoperative view of a 42-year-old female.
Postoperative view 8 months following abdominoplasty and ultrasonic-assisted liposuction (UAL) of bilateral flanks.
 
 
 
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