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CC BY 4.0 · Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39(04): s00441801798
DOI: 10.1055/s-0044-1801798
Artigo de Revisão

Unusual Complications of Abdominal Plastic Surgery Causing Postoperative Pain of Difficult Diagnosis: An Integrative Review

Article in several languages: português | English
Samara Tessari Pires 
1   Faculdade de Medicina, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brasil
,
Marcelo Rosseto 
1   Faculdade de Medicina, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brasil
› Author Affiliations Financial Support The authors declare that they did not receive financial support from agencies in the public, private or non-profit sectors to conduct the present study.

Ensaios Clínicos Não. | Clinical Trials None.
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Abstract

Introduction Abdominal plastic surgery may cause common complications, such as hematoma, seroma, and suture dehiscence, severe complications, including sepsis and thromboembolism, and unusual complications, such as nutcracker syndrome, pyoderma gangrenosum, hiatal hernia, and esophageal motility dystonia, which can cause postoperative difficult-to-diagnose pain. This fact can lead the surgeon and their team to numerous diagnoses that often do not match the condition due to the rarity of these cases.

Materials and Methods We performed an integrative review of unusual complications of abdominal plastic surgery in the PubMed/MEDLINE and LILACS databases. Next, we compared the findings with the casuistry of one of the authors (MR) from the last 30 years.

Results The database query did not yield papers on nutcracker syndrome or esophageal motility dystonia associated with abdominoplasty. We found nine cases of pyoderma gangrenosum and three cases of hiatal hernia in the literature. In his casuistry, one of the authors (MR) had one case of each complication, and they were compared with the cases found in the literature.

Conclusion Unusual complications of abdominoplasty influence the patient's postoperative recovery and can cause pain associated with other signs and symptoms of difficult diagnosis.

Keywords

abdominoplasty - esophageal motility disorders - hernia - hiatal - pyoderma gangrenosum - renal nutcracker syndrome

Authors' Contributions

MR: conceptualization, study conception and design, resource management, performance of surgeries and/or experiments, and writing – review and editing; and STP: data analysis and/or interpretation, study conception and design, investigation, methodology, writing – original draft preparation, writing – review and editing, and visualization.




Publication History

Received: 08 January 2024

Accepted: 16 November 2024

Article published online:
27 January 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Samara Tessari Pires, Marcelo Rosseto. Complicações não habituais da cirurgia plástica de abdome que causam dor pós-operatória de diagnóstico difícil: Uma revisão integrativa. Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39: s00441801798.
DOI: 10.1055/s-0044-1801798
 

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