title: Fleur-de-Lys abdominoplasty--a consecutive case series.
abstract: Sixty-eight consecutive patients who had undergone Fleur-de-Lys abdominoplasty are described. The mean age was 39 years, (22-62 years) and the mean body mass index (BMI) was 29 kg/m(2) (17-47 kg/m(2)). Forty patients had documented weight loss, mean 39 kg (10-103 kg). The operation duration ranged from 1 h 10 min to 4 h 15 min. The mean mass of tissue resected was 2.4 kg, (0.3-9.1 kg). The overall complication rate was 42/68 (62%) and complications were categorised as early, late, general and aesthetic. Complications were significantly related to patients with a greater age (p=0.0091), increasing BMI (p=0.0039), greater weight (p=0.0014) and greater mass of tissue resected (p=0.0002). There was no significant association between smoking and complications. There was no significant association between previous gastric partitioning surgery and complications. Despite the significant complication rate, a single operation achieved a satisfactory outcome in 82% of patients. Our data reinforce findings from previous studies, which have demonstrated that patients should be required to reduce weight prior to body contouring surgery.
authors.affiliation: Department of Plastic, Burn and Reconstructive Surgery, Northern General Hospital, Herries Road, Sheffield S5 7AU, UK. duffcg@aol.com
authors.forename: C G
authors.initials: CG
authors.lastname: Duff
authors.forename: S
authors.initials: S
authors.lastname: Aslam
authors.forename: R W
authors.initials: RW
authors.lastname: Griffiths
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D000328:Adult; D000367:Age Factors; D015992:Body Mass Index; D001835:Body Weight; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome; D015431:Weight Loss; D014945:Wound Healing