Author(s)

Anoud Al Qaydi, Dalal Al Mansoori, Medhat Emil^*, Shamsa Alameri, Aysha Al Naqbi, Ibrahim Al Marzooqi, Abdulla Tareq Al Hassani, Muhammad Tariq Ayub, Dalia Medhat Habib, Omar Alameri

Department of Plastic and Reconstructive Surgery, Zayed Military Hospital, Abu Dhabi, United Arab Emirates.

Objective: This study aims at assessing the incidence of haematoma formation in abdominoplasty cases who had previous bariatric surgery and in those who did not have bariatric surgery before. Patients and Methods: This is a 4 years retrospective study involving patients who underwent abdominoplasty surgery between the period of July 2015 and June 2019. The incidence of haematoma formation was assessed in relation to history of previous bariatric surgery in these patients. Results: 164 patients met the inclusion criteria of the study; 46 of them were males and 118 were females. The mean age of the patients included in the study was 38.6 (21 - 60 years). The mean BMI was 27 kg/m² (21.4 - 34.7 Kg/m²). The mean hospital stay was 6.6 days (4 - 19 days). 107 patients had history of previous bariatric surgery performed and 57 had not. 21 patients developed haematoma (12.8%). 16 of the patients who had haematoma had previous bariatric surgery done (15% of post bariatric surgery cases) while 5 patients developed haematoma with no history of previous bariatric surgery (8.8%). Sixteen male patients out of the 46 male patients in the study developed postoperative haematoma (34.8% of the male patients) while only 5 of the 118 female patients developed postoperative haematoma (4.2% of the female patients) which shows a significant difference in haematoma formation when comparing males to females in general (p < 0.001). A same significant difference in haematoma formation was found in males who had previous bariatric surgery (13.1%) compared to females who had the same procedure done before (1.9%) (p < 0.001). Out of the 46 male patients included in the study, 16 patients developed haematoma, 14 patients of them had previous bariatric surgery (30.4% of the male patients) while the other 2 patients had no bariatric surgery done before (4.4% of the male patients) indicating that males who had previous bariatric surgery had the highest chance of developing haematoma (p < 0.05). The difference in the incidence of post abdominoplasty haematoma was not much significant in female patients who had history of previous bariatric surgery (1.7%) and who did not have it (2.5%) (p = 0.650). Out of the 77 patients who underwent abdominoplasty combined with liposuction, plication of the recti muscles or both, only 2 patients developed haematoma. No statistical significance was found in comparing those who underwent these procedures combined with abdominoplasty surgery and those who did not (p = 0.294). Conclusion: Our study shows that the incidence of post abdominoplasty haematoma formation is significantly higher in male patients who had bariatric surgery before when compared to those who had not (p < 0.05). The incidence was higher in males when compared to females (p < 0.001) indicating that males with previous history of bariatric surgery have the highest chance of developing haematoma formation. Combining liposuction of the lower flanks, plication of the recti muscles or both to the abdominoplasty procedure did not result significantly in an increased risk of haematoma formation.

Haematoma, Abdominoplasty Surgery, Postbariatric Surgery, Liposuction, Plication Recti Muscles

Al Qaydi, A. , Al Mansoori, D. , Emil, M. , Alameri, S. , Al Naqbi, A. , Al Marzooqi, I. , Al Hassani, A. , Ayub, M. , Habib, D. and Alameri, O. (2023) Incidence of Haematoma in Post Bariatric Abdominoplasty Cases. Modern Plastic Surgery, 13, 74-84. doi: 10.4236/mps.2023.133008.