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
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