Abdominoplasty Workup

Updated: Jan 14, 2016
  • Author: Allen Gabriel, MD, FACS; Chief Editor: Jorge I de la Torre, MD, FACS  more...
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Workup

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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