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Combined hysterectomy and tummy tuck – is it safe?

May 16th 2012 at 6:43 AM

Combining two different surgeries – hysterectomy and abdominoplasty – is relatively safe, says a new study, with a minor complication rate of 32 percent.

The researchers say that combined hysterectomy and tummy tuck is an effective and safe way to help women achieve both medically and cosmetically important results in the same procedure.

However, one expert disagrees, saying all procedures with 32 percent rate of complication should be re-assessed.

In the new study, researchers from the Florida International University studied the results for 65 patients who went through both surgeries at the same time. The procedures were performed from 1995 to 2011. The women had an average age of 46 and an average weight of 184 pounds. The average body-mass index was 31.9 (regarded as obese) and the average length of stay in the hospital was 3.8 days.

Overall, the rate of complication among the procedures stood at 32 percent. Fever was seen in 10 percent of patients; wound complications in 8 percent; and urinary tract infection in 2 percent of women. Nine percent of the patients had totally or partially collapsed lung known as atelectasis, and 3 percent needed to have a blood transfusion.

According to Dr. Sherrell Aston, chairman and surgeon director of the plastic surgery department at New York’s Manhattan Eye, Ear and Throat Hospital, transfusion is considered a major complication, occurring in 3 percent of surgeries. Thus, he says he would not recommend combining the procedures.

Hysterectomy, or the surgical removal of the uterus, is the second most common procedure performed in women in the US, based on data from the US Office on Women’s Health. Women might undergo this procedure due to various reasons like cancer, abnormal bleeding, pelvic pain, endometriosis (a condition wherein uterine cells appear in other body areas) and uterine fibroids.

Meanwhile, abdominoplasty or tummy tuck is a cosmetic surgery procedure that involves the removal of fat or excess skin from the lower and middle abdomen. This procedure makes the abdomen firmer, and is not an alternative for weight loss, says the American Association of Plastic Surgeons.

Dr. Angela Kerr, head of the gynecology program at New York City’s Brooklyn Hospital Center, says the surgery could be safe for some women but it depends on patient selection. Surgeons should consider if patients have other medical conditions like hypertension or diabetes, which may be a factor in the risk of complications, says Kerr, emphasising that a lot depends upon the surgeons’ expertise.

Combining the two procedures has potential benefits, say the researchers. These include a reduction in overall healing time, in the risks associated with anesthesia and in the time spent in hospital. Combining the surgeries will also save patients money. As plastic surgery is generally not covered by insurance, patients might be able to save on the tummy tuck’s total cost when they combine the two surgeries.

 

NOTE : This Article Is originally posted by cosmeticsurgerynews.

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