Bowel Cleansing Before Tummy Tuck

asked 2 years ago by Dawn in Baltimore in baltimore
Latest answer by Farbod Esmailian, MD
Question viewed 1,553 times
Tags: belly

I am having a Tummy tuck tomorrow. I drank the fluid to clean your bowels, after 1 hour I vomited. My PS said not to work just stay on liquid diet. But I am worried. Comments?

10 answers to Bowel Cleansing Before Tummy Tuck

Bowel preps for abdominoplasty

We do not routinely prep the bowel unless there is an associated hernia that is complicated, i.e. revisional, where intraabdominal surgery might be necessary when the hernia is repaired. Often these more complicated procedures are done in conjunction with a general surgeon in a hospital setting.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

www.drbrent.com

Bowel prep is not a standard routine

In a straightforward abdominoplasty, I don't put my patients on a bowel prep. If the procedure is being done in combination with a gynecologist performing a hysterectomy or a general surgeon performing an intra-abdominal procedure or hernia repair, I leave that up to the other surgeon to make that decision. After intra-abdominal surgery, patients often develop what's called an ileus, which is where the bowel motility temporarily shuts down. Patients don't start eating again until... more

Joseph M. Perlman, MD
Houston Plastic Surgeon

It is not absolutely necessary

In 19 years of practice, I have never asked that a patient use a bowel prep before an abdominoplasty. There is little to gain from having an empty colon and we have never had any significant issues regarding bowel movements after tummy tucks.

Francisco Canales, MD
Santa Rosa Plastic Surgeon

Bowel Preps Can Help

A low residue diet, liquid diet or a bowel prep before surgery decrease the amount of stool in your bowels following surgery. This can make your postoperative recovery slightly easier. After your procedure your bowels will slow down and the transit time or time will increase and you can become more bloated. Listen to your surgeon.

Charles Perry, MD
Sacramento Plastic Surgeon

Bowel prep

Individual surgeons have different routines but in most situations, a clear liquid diet for 24 hours is sufficient. I have never had to use a bowel prep solution. Occasionally a patient will request or require a suppository to help with a bowel movement pre-op.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Bowel Prep for Tummy Tuck

It is not essential and I would not be alarmed. Plastic surgeons who prescribe bowel cleansing, like myself, believe it helps with comfort after the surgery. Since that is discomfort from the tightening of the muscles and you will be on narcotic medications, there is a tendency for constipation and straining after the surgery. By having your bowels emptied there will be a less likelihood for straining and discomfort. Good luck.

Farbod Esmailian, MD
Orange County Plastic Surgeon

Bowel prep not absolutely necessary for tummy tuck

It is my inpression that the vast majority of plastic surgeons do not use bowel preps. Therefore I would not be overly concerned. Therefore, even the liquid diet is more than adequate in most instances. To minimize postoperative constipation from the narcotic analgesics, I frequently advise my patients to begin stool softeners and mild laxatives soon after surgery.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

No need for bowel prep in Tummy Tuck

There are 2 reasons cited for bowel preps: 1- Have empty bowels in case there is injury to the bowel. This is highly unlikely in a routine tummy tuck, unless there is an associated hernia repair or other intraabdominal procedures. In this case I leave the decision to the general surgeon in charge of the intraabdominal part of the procedure. 2- to prevent straining or constipation after surgery which may endanger the muscle repair if the patient pushes too much. The risk is increased with... more

Ricardo Rodriguez, MD
Baltimore Plastic Surgeon

www.cosmeticsurg.net

Don't worry, not essential

We started using Magnewsium citrate prior to abdominoplasty about five years ago and have noticed that patients have a slightly less complicated post-op course with relation to constipation and discomfort, but this is certainly a practice choice and not essential to a great experience with your surgery.

W. Tracy Hankins, MD
Las Vegas Plastic Surgeon

No worries about bowel cleansing before Tummy Tuck

I haven't used bowel preps for tummy tucks for a long time and patients do fine. So, staying on a liquid diet prior to your surgery should be fine. Hope it goes well for you.