Abstract

GIUSTOZZI, W.; CHINELLATO, A.; PETRONI, A.  and  FERNANDEZ CORIA, R.. Postoperative hematological variations in dermolipectomy. Cir. plást. iberolatinoam. [online]. 2010, vol.36, n.2, pp.127-134. ISSN 1989-2055.

The deforming tetrad of the abdominal wall is formed by obesity, abdominal distension, gravidity and muscle diastases. Our objective is to show the variation of the hematocrit and hemoglobin in relation to the percentage of the total body mass that represents the fatty skin folds extirpated in a dermolipectomy, having as parameter the one obtained 24 hours after surgery and at 7 postoperative day. We design an observational prospective study on 93 patients who underwent an abdominal dermolipectomy between august 1st 2007 and december 31st 2008. Analyzed variables were hematocrit and hemoglobin variations related to the percentage of total body mass that represents the skin folds extirpated. The average decrease of the hematocrit 24 hours after surgery was 6,19% and the hemoglobin 1,9gr/l; 7 days later were 3,84% and 1,25gr/l respectively. As a conclusion, we remark the importance of a correct presurgical care of the patients to avoid immediate and distant postoperative complications in abdominal dermolipectomy, improving selection to diminish morbidity.

Keywords : Abdominoplasty; Abdominal dermolipectomy; Postoperative variations.

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