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

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.

Publikationsverlauf

Eingereicht: 08. Januar 2024

Angenommen: 16. November 2024

Artikel online veröffentlicht:
27. Januar 2025

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