• S Atallah, M Albert, O Felix, S Izfar, T Debeche-Adams, and S Larach.
• Florida Hospital, Orlando, FL, USA, atallah@post.harvard.edu
• Tech Coloproctol. 2013 Feb 1;17(1):111-6.

BackgroundFor those patients undergoing laparoscopic colorectal surgery who have had prior abdominoplasty, cosmetic outcome is important and the technical considerations for laparoscopy in post-abdominoplasty patients have not been previously addressed. The aim of the present study was to define the technical approach to the post-abdominoplasty patient undergoing laparoscopic colorectal surgery after abdominoplasty.MethodsUtilizing the technical approach described, eleven patients underwent laparoscopy after prior abdominoplasty over a 7-year period.ResultsThe majority of patients (10/11) felt their laparoscopic colorectal resection had no adverse effect on the aesthetics of their prior abdominoplasty. From a surgeon's standpoint, the only significant challenge was due to the loss of abdominal wall compliance.ConclusionsThe surgical approach to laparoscopic colectomy in the post-abdominoplasty patient requires careful planning. Cosmetic outcome is a particularly important consideration for this subset of patients, and this should be appreciated by the operating surgeon.

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