Patient description: 46-year-old female patient who presented to our office requesting high definition liposculpture.Past medical history remarkable for a previous liposuction (6 years ago) in addition to breast augmentation with implants and umbilical hernia repair.No complications were reported in these procedures.Non other relevant data.Physical examination showed a patient with skin adhesions in the middle abdomen and loosening of the lower abdominal region and fat pad accumulation related to weight gain.Procedure: high definition liposculpture plus renuvion® therapy applied to the abdomen and flanks in addition to mini-abdominoplasty and a 1-cm umbilical hernia repair with primary closure.Breast lift surgery with implant replacement was also performed.Post-operative period: patient started complaining of shortness of breath within the first 24 hours after surgery.Pulse oximetry was 85% (fio2: 21%) and bi-basal hypoventilation was reported on physical exam.A chest x-ray and ct scan were performed and results showed pneumoperitoneum.The patient underwent a diagnostic laparoscopy that ruled out damage of the abdominal structures or visceral perforation.The patient remained hospitalized under medical observation and was discharged after 2 days without major complications.This patient 12-month follow up included an abdominal x-ray and physical examination during the appointment.
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