Safety issues in combined gynecologic and plastic surgical procedures

Objectives: The combination of gynecologic and plastic surgery procedures in a single surgical setting is becoming increasingly common because it reduces the number of general anesthetics and shortens overall recovery time. The primary concern should be patient safety. Methods: A MEDLINE search from 1980 to 2007 was conducted. Articles addressing combined gynecologic surgery with one of the various plastic surgical procedures of the abdomen (abdominoplasty, panniculectomy, and abdominal liposuction) were reviewed. The authors' comprehensive approach to the management of these patients was evaluated. Results: A unique set of safety issues exists depending on the specific combination of procedures. A review of the literature is discussed, as well as recommendations for maximizing the aesthetic outcomes while optimizing patient safety. Preoperative planning, intraoperative concerns, and postoperative care are all addressed in detail. Conclusions: Using a team approach and employing the outlined strategies to minimize complications, combined plastic and gynecologic procedures can be performed safely in appropriate patients.