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2026, Number 1

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Cir Plast 2026; 36 (1)

Clinical guidelines for abdominoplasty by the Safety Committee of the Mexican Association of Plastic, Aesthetic and Reconstructive Surgery

Fernández-Díaz OF, Contreras-Bulnes L, Cuenca-Pardo JA, Ramos-Gallardo GO

Language: Spanish
References: 59
Page: 14-25
PDF size: 471.26 Kb.


ABSTRACT

Abdominoplasty is one of the most frequently performed procedures in plastic, aesthetic, and reconstructive surgery. Despite its frequency, significant variations exist in indications, techniques, and perioperative management. The absence of standardized clinical guidelines limits outcome comparison and taking up evidence-based practices. A bibliometric and systematic review of the literature was performed using Scopus databases covering the period from 1970 to 2025. The most cited studies with the highest level of evidence on abdominoplasty were identified and analyzed. Articles were evaluated using the GRADE methodology (Grading of Recommendations, Assessment, Development and Evaluation) to determine evidence quality and recommendation strength. Fifty relevant articles with variable evidence levels (high to low), but with significant clinical and methodological value, were included. Findings were grouped into ten thematic domains, ranging from surgical indications and patient selection to drain use, pain management, antibiotic prophylaxis, and specific techniques. Most studies agreed on the importance of technical individualization, complication prevention, and optimization of perioperative safety, concluding that current evidence supports the implementation of standardized recommendations to improve surgical abdominoplasty practice. The GRADE methodology allowed structured synthesis of findings and formulation of scientifically sound recommendations aimed at promoting safer, more predictable, and patient-centered surgery.


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