In this video-based CME activity, Al Aly, MD performs a belt lipectomy on a 45-year-old female who used to have a BMI of 57.2. She had previously had a duodenal switch operation and experienced wound dehiscence, and then had tension sutures added to correct that complication. After the secondary tension suture operation, a large hernia grew and a fairly large panniculus developed, causing ongoing discomfort. The goal of this procedure is to correct the hernia, the large panniculus, the large mons pubis, and to contour the buttocks and thighs.
After viewing this course, the participant should be able to:
Plan 2-3 months ahead to ensure the patient does not have any nutritional deficiencies and confirm that the patient has received psychiatric clearance.
Prepare the patient prior to surgery, carefully marking the site to determine how much excess skin can be removed. These markings are the roadmap to performing the procedure.
Perform the procedure in a reasonable amount of time to limit risks to the patient (recommended 6 hours or less).
Ensure that hospital staff know to not move the patient until the patient has awakened from the procedure.
Educate the patient about the lengthy recovery period, and the potential complications that could arise: dehiscence, seromas, necrosis, deep venous thrombosis, and pulmonary embolism.
AMA PRA Category 1 CreditTM: 1.25
Patient Safety Credit: .5
Release Date: 3/15/2013
Reviewed Date: 7/1/2018
Expiration Date: 7/1/2021
Estimated time to complete this course: 1 hour
Directly provided by the American Society of Plastic Surgeons® (ASPS®)
The American Society of Plastic Surgeons (ASPS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The ASPS designates this enduring material for a maximum of 1.25AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This educational activity is intended for plastic surgery practitioners, residents, and other healthcare professionals interested in translating expanded knowledge into practice for the improvement of patient outcomes in plastic and reconstructive surgery.
This activity will address the following ACGME/ABMS core competencies:
- Patient care and procedural skills
- Medical knowledge
- Interpersonal and communication skills
Dr. Aly is a consultant, speaker and advisor for Ethicon/J&J; receives research support from Ethicon/J&J; is an advisor for Angiotech Pharamceuticals; is an advisor for and a shareholder with Incisive Surgical Inc.; and receives royalties from QMP. Dr. Wallach is an advisor with Allergan. None of the ASPS/PSEN staff members managing this activity have relevant financial relationships or affiliations to disclose. All identified conflicts of interest have been resolved and the educational content thoroughly vetted by ASPS for fair balance, scientific objectivity, and appropriateness of patient care recommendations. The ASPS also requires faculty/authors to disclose when off-label/unapproved uses of a product are discussed in a CME activity or included in related materials.
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Product Code: 17852