Some surgeons recommend an overnight in the hospital after a tummy tuck, but I could go home the same day. What is the main health risk that they are monitoring in the hospital, or is it just to be able to give better pain medication?
Primary Reason for Hospital Stay After a Tummy Tuck?
Doctor Answers (15)
Overnight hospital stay after Tummy Tuck is a very nice option but not essential
I operate in a hospital thus my patients have the option of staying overnight. It is very interesting that many choose to do so since they have the option.
The benefits are nursing care, more effective pain medications, and the opportunity to see the doctor on round the next morning.
Patients who have a mini tummy tuck more frequently choose to go home after surgery, but for full abdominoplasty I recommend that they stay overnight.
Certainly id multiple procedures are done such as combined abdominoplasty and breast lift or augmentation or liposuction of other areas I strongly recommend an overnight stay.
For patients who choose to go home after surgery they must be accompanied by someone who can care for them. It is illegal for a hospital to discharge a patient alone after General Anesthesia in my State Massachusetts.
Primary Reason to Stay in the Hospital After A Tummy Tuck?
The majority of my patients and patients in the Washington, DC metro area go home after a tummy tuck. The main reasons to stay overnight are:
1. Tummy tuck is combined with other procedures - breast reduction/augmentation and liposuction
2. Severe post-operative nausea and vomiting
3. Pain control
4. Medical reasons - blood pressure monitoring requiring a 23 hour stay
Top reasons to stay overnight after a tummy tuck
There are a handful of reasons why some patients stay overnight after a tummy tuck including:
1) Patient/surgeon preference
2) Treatment/prevention of nausea/vomiting
3) IV pain medication
4) Expert care (no one at home to take care of patient)
5) Fluid management (IV fluids)
All the best,
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Hospital stay after a tummy tuck
In the United States, most tummy tucks are done on an outpatient basis with patients going home the day of surgery. The two main reasons why a patient might need admission are 1) excessive post-operative pain and 2)inadquate oral intake because of nausea/vomiting. When patients are admitted after surgey these two problems can be better treated in that patients can be given pain medicine and fluids by an iv. Currently, anesthesia providers are experts at preventing and treating nausea and vomiting. Also, pain is usually well controlled with oral pain meds. Some patients will also benefit from the use of pain pumps. Fortunately, it is extremely rare for patients to require admission after a tummy tuck.
Hospital stay after TT
Most patients across the country go home after tummy tuck surgery. I do most of my surgery out of a hospital setting where my patients have the option to stay or go home. Over 90% of my patients choose to stay overnight. Granted it is a special program which only costs an additional $300 but they find real value in it. Why? It's nice not to have to home directly after the surgery and anesthetic. They can be treated for any pain or nausea. I think the biggest benefit is the fact that they can continue to receive IV fluids, which not only decreases nausea but also keeps you well hydrated and reduces blood clots (DVT). Also compression stockings (SCDs) are continued throughout the night which also decreases DVT. The nurses also help you deal with the drains and getting in and out of bed. In summary, while hospital stays after tummy tuck are not necessary, there is great value in using them if they are readily available.
Tummy tuck and post operative hospital stay
The majority of my patients recover at home after a tummy tuck and do quite well. However, I counsel my patients that should they have excessive post operative pain or untoward medical problems, such as nausea or blood pressure problems, they may need to be admitted to a hospital for the first 24 to 48 hours after the tummy tuck.
Overnight stay after abdominoplasty
we did this for years and have stopped this in the last ten years. it is not necessary.. pain can be controlled with proper care. it is safe and reasonable to go home
"To or Not To" Stay Overnight after Tummy Tuck
In my practice whether an abdominoplasty patient stays overnight depends on if there are combined procedures that may require further monitoring of hydration status, blood pressure and/or pain control. During the consultation the determination is made if overnight stay would be necessary. Different surgeons will have their own criteria for overnight admission. You will have to determine your comfort level with the surgeon of your choosing reasons "To or Not To" admit you overnight.
It depends on the surgery
Tummy tuck is a significant amount of surgery. Often is may be accompanied with liposuction and sometimes breast surgery. If it is a long case 6 or more hours i offer a 23 hour stay for comfort and monitoring. The patients health plays a significant decision on every aspect of this type case. If you are in good health and a 4 or 5 hour case and good support at home, then it sounds reasonable.
I always use a pain pump for comfort.
Inpatient tummy tuck is not necessary unless you have unusual medical risk factors!
If your overall medical status is such that you are not a safe and appropriate candidate for outpatient tummy tuck surgery, then by all means, hospital care is reasonable. That being said, I operate in my own fully-accredited in-office surgical facility (and have done so for 24 years), and do dozens of outpatient tummy tucks each and every year. Safely, and comfortably for the patient, as well as less expensive for better care.
How can my office surgical facility be better than the hospital? Well, first of all, my office does not expose you to sick patients or nasty bacteria--only healthy, elective surgery patients in my operating rooms! Second, our anesthesia is better than the (safe, routine, cheap) inhalation anesthetic you receive at the hospital. For more information on this, read my article (click the About tab on my profile page) on this site titled: "Is TIVA (Total IV Anesthesia) or General Anesthesia Safer?"
Assuming the plastic surgeon you choose to perform your surgery operates at an accredited surgical facility (either his or her own, a stand-alone outpatient facility, or a hospital-affiliated surgicenter), you will get identical monitoring as you would at a hospital, including availability of "crash cart" medications, defibrillator, malignant hyperthermia medications, etc. What you won't have is the higher cost, increased overhead (to pay for all the patients who receive hospital or ER care without having insurance), and things you don't need like MRI and CT scanners, angiography suites, and lots of doctors of specialties not involved in your care.
Also, any outpatient who goes home has the same prescription pain medications as the hospital, just not a nurse to inject them into your bottom! In the recovery room at an outpatient facility you will still receive the same intravenous pain medications used at the hospital, and perhaps even more thoughtful ways your surgeon has learned to control incisional pain, muscle spasm, nausea, and swelling/inflammation.
So if you are the typical young, healthy patient that usually asks for tummy tuck surgery, you have no reason to go to a hospital (unless that is the only place your surgeon operates, or if the anesthesia practices have such a high PONV--post-operative nausea and vomiting--rate that patients that could have gone home with better anesthesia are "green and barfing" and must stay to get that under control!)
See several ABPS-certified plastic surgeons who have busy enough practices that they operate their own AAAASF-accredited surgical facility; you will get not only safe and better anesthesia, but likely a more experienced surgeon and superior cosmetic result. Best wishes!
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.