Evidence map›Paper›PMID 39681686›Full record

SynthesisAesthetic plastic surgery2025

Therapeutical Strategies to Prevent Abdominoplasty Complications: A Systematic Review.

Cristina Pires Camargo, Julia Adriana Kasmirski, Maria Stella Vasconcelos Sales Valente, Murilo Sgarbi Secanho, Wilson Cintra, Rolf Gemperli

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Cristina Pires CamargoLaboratory of Microsurgery and Plastic Surgery, School of Medicine, Universidade de São Paulo, São Paulo, Brazil. cristinacamargo@usp.br.ORCID 0000-0002-3134-0003
Julia Adriana KasmirskiLaboratory of Microsurgery and Plastic Surgery, School of Medicine, Universidade de São Paulo, São Paulo, Brazil.
Maria Stella Vasconcelos Sales ValenteGeneral Surgery Department, Universidade Estadual de Campinas, Campinas, Brazil.
Murilo Sgarbi SecanhoLaboratory of Microsurgery and Plastic Surgery, School of Medicine, Universidade de São Paulo, São Paulo, Brazil.
Wilson CintraLaboratory of Microsurgery and Plastic Surgery, School of Medicine, Universidade de São Paulo, São Paulo, Brazil.
Rolf GemperliLaboratory of Microsurgery and Plastic Surgery, School of Medicine, Universidade de São Paulo, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbdominoplasty is one of the most commonly performed procedures. Despite improvements in the abdominoplasty technique, seroma is the most common complication, ranging from 5 to 43%. This study aimed to review the literature to compare therapeutic strategies to prevent common adverse events in abdominoplasty.

methodsThis review analyzed patients of both sexes older than 18 years who underwent abdominoplasty with or without liposuction. This study analyzed the following endpoints: frequency of seromas, surgical site infection, hematoma, dehiscence, necrosis, death, treatment duration for adverse events, length of hospital stay, seroma/hematoma volume.

resultsWe analyzed 24 articles, totaling 2997 participants with ages ranging from 18 to 85 years. The meta-analysis of 4 studies, with 180 participants, showed a 69% reduction in the occurrence of seroma when Scarpa's fascia preservation was adopted (OR, 0.38; 95%CI 0.16-0.91). Regarding other complications, Scarpa's fascia preservation showed a lower risk of infection (OR 0.31; 95%CI 0.12-0.79) and also lower risk of hematoma (OR 0.29; 95% CI 0.09-0.95) in seroma for Scarpa's fascia preservation when compared to not fascia's preservation.

conclusionThis review suggests that Scarpa fascia preservation decreases seromas, infections, and hematomas. However, more randomized controlled trials are necessary to improve the level of certainty. LEVEL OF EVIDENCE II: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

AbdominoplastyLipectomyPostoperative ComplicationsAdolescentAdultAgedFemaleHumansMaleMiddle AgedRisk AssessmentSeromaTreatment OutcomeYoung AdultAbdominoplastyPlastic surgeryScarpa’s fascia preservationSeroma

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.