Can a tummy tuck cause ischemic bowel?

Question

Jeffrey D. Wagner, MD · Answer

The answer to this question is generally no.  But, having said that, there is a very small risk of  intraabdominal injury to visceral organs or bowel with liposuction to the torso and abdominal wall tightening with abdominoplasty, Probably a little bit higher chance exists in patients with hernias or prior intraabdominal surgeries.  I recommend that you discuss your concerns during an in person consultation with a board certified experienced plastic surgeon.

John Rosdeutscher, MD · Answer

Probably more theoretic than real, but tightening the abdominal wall is a routine part of tummy tuck (abdominoplasty). Theoretically too much tightening could cause a compartment syndrome of the abdomen & potentially bowel ischemia. Again this is highly unlikely to happen. Hope that helps put your mind at ease.

Don Fontana, MD · Answer

No, there is no association in performing a TT and the possibility of  creating an ischemic bowel.

Saul Lahijani, MD · Answer

This is in general no (99.999% no) , but in the medical field you can never say never.  In general you should not be in the intra-abdominal cavity during a tummy tuck.  There are other ways of getting ischemic bowls but tummy tuck would have to be rare or impossible.

Anthony J. Taglienti, MD · Answer

Thank you for your question. The answer to this is basically, no. However, because with a traditional abdominoplasty or tummy tuck the abdominal muscles are tightened, depending on how thin the fascia or abdominal wall is to start, there is always a potential of the surgeon going to deep and penetrating the abdominal cavity. Also, with liposuction, because of the nature of the cannula, there is a potential that the abdominal cavity can be pierced. Does this happen often by well-trained, Board-Certified Plastic Surgeons? Absolutely not. But, since you asked, these are the potential scenarios.

Can a tummy tuck cause ischemic bowel?

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Answers (5)

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