PREANESTHETIC EVALUATION IN ABDOMINAL PLASTIC SURGERY: A SYSTEMATIC REVIEW OF CLINICAL PRACTICE
DOI:
https://doi.org/10.56238/levv16n55-146Keywords:
Preoperative Care, Anesthesia Evaluation, Abdominoplasty, Patient SafetyAbstract
Introduction: Abdominal plastic surgery is associated with relevant physiological stress, heterogeneous patient profiles, and a non-negligible risk of perioperative complications, making structured preanesthetic evaluation a cornerstone of patient safety.
Objective: The main objective was to systematically review current evidence on preanesthetic evaluation in abdominal plastic surgery, with secondary objectives addressing risk stratification, cardiopulmonary assessment, thromboembolic prevention, metabolic optimization, and the role of multidisciplinary planning.
Methods: A systematic search was conducted in PubMed, Scopus, Web of Science, Cochrane Library, LILACS, ClinicalTrials.gov, and ICTRP, including studies published within the last five years, with predefined eligibility criteria and structured qualitative synthesis.
Results and Discussion: Twenty studies were included, demonstrating consistent associations between comprehensive preanesthetic assessment and reduced perioperative complications, improved patient selection, and optimized surgical outcomes, although heterogeneity in protocols and evidence certainty was observed.
Conclusion: Evidence supports standardized, individualized, and multidisciplinary preanesthetic evaluation as a critical component of safe abdominal plastic surgery practice.
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References
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