Summary
The increasing demand for plastic surgery of the abdomen has also increased the number
of complications, some of them very difficult to manage. It has been stated that antibiotics
are unquestionably effective in preventing postoperative wound infections. In the
present study, we aimed to provide guidelines for the use of prophylactic antibiotics
in abdominoplasty operations. A prospective study was planned on 207 patients. Three
study groups were formed according to the administration of antibiotics as follows:
group 1, no antibiotics; group 2, preoperative antibiotics only; and group 3, both
preoperative and postoperative antibiotics. Twenty patients showed bacterial growth
in the intraoperative bacterial culture. There was significant difference in the incidence
of infection between groups 1 and 2, groups 1 and 3, but there was no difference between
groups 2 and 3. In conclusion, we recommend a single preoperative dose of intravenous
antibiotic to prevent infection and also secure the patient from antibiotic side effects.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Plastic, Reconstructive & Aesthetic SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Report of gynecologic diseases (excessive growth of fat).Johns Hopkins Med J. 1899; 10: 197
- Abdominoplasty combined with suction lipoplasty: a study of, complications, revisions, and risk factors in 487 cases.Ann Plast Surg. 1990; 25: 333-338
- Abdominoplasty assessed by survey, with emphasis on complications.Plast Reconstr Surg. 1977; 59: 513-517
- Complications and long-term results following abdominoplasty: a retrospective study.Br J Plast Surg. 1991; 44: 190-194
- Abdominoplasty in multiparous woman with severe musculoaponeurotic laxity.Br J Plast Surg. 1997; 50: 450-455
- Wound complications of abdominoplasty in obese patients.Ann Plast Surg. 1999; 42: 34-39
- An outcomes analysis and satisfaction survey of 199 consecutive abdominoplasties.Ann Plast Surg. 2001; 46: 357-363
- Antibiotic prophylaxis in surgery.N Engl J Med. 1986; 315: 1129-1138
- The current use of antibiotics in plastic and reconstructive surgery.Plast Reconstr Surg. 1975; 55: 21-32
- Postoperative would infections: the influence of ultraviolet irradiation on the operating room and of various other factors.Ann Surg. 1964; 160: 1-192
- Antibiotic use in aesthetic surgery: a national survey and literature review.Plast Reconstr Surg. 2002; 109: 1685-1693
- Antibiotic prophylaxis and cardiac surgery. A prospective double-blind comparison of single-dose versus multiple-dose regimens.Ann Intern Med. 1972; 76: 943-949
- Prophylactic and preventive antibiotic therapy: timing, duration and economics.Ann Surg. 1979; 189: 691-699
- Single dose systemic antibiotic prophylaxis of surgical wound infections.Am J Surg. 1986; 152: 552-559
- Prophylactic antibiotics and their role in the prevention of surgical wound infection.Adv Surg. 1994; 27: 43-65
Article info
Publication history
Published online: November 10, 2006
Accepted:
June 9,
2006
Received:
March 25,
2006
Identification
Copyright
© 2006 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
