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Advancements in Individualized Plastic and Reconstructive Surgery: Second Edition

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Special Issue Editors

Special Issue Information

Dear Colleagues,

On behalf of the Journal of Clinical Medicine’s Editorial Team, we are pleased to present the Second Edition of the Special Issue, “Advancements in Individualized Plastic and Reconstructive Surgery”.

This Special Issue continues to explore the evolving clinical landscape of individualized plastic and reconstructive surgery, with a focus on translating personalized approaches into practical, evidence-based care. In recent years, patient-specific surgical planning and execution have gained momentum, driven by innovations in imaging, microsurgical precision, and biological customization.

This edition aims to highlight clinical research that addresses current challenges, unmet needs, and potential solutions in tailoring reconstructive and esthetic procedures to individual patient profiles. The goal is to improve outcomes, safety, and patient satisfaction through precision-based surgical interventions.

We invite contributions that reflect real-world clinical advancements across a broad spectrum of topics, including but not limited to individualized soft tissue reconstruction, flap surgery innovations, autologous tissue transplantation, digital surgical planning, and clinical applications of regenerative medicine and biomaterials.

This Special Issue seeks to encourage the sharing of clinical experiences, case series, and outcome-driven research that contribute to the growing evidence base for personalized approaches in plastic and reconstructive surgery. We also welcome interdisciplinary perspectives that integrate surgical technique with imaging, bioengineering, and patient-reported outcomes.

Through this second volume, we aim to advance the clinical understanding of how individualized strategies can transform patient care and outcomes in plastic and reconstructive surgery. We warmly invite clinicians, surgeons, and clinical researchers to contribute their expertise to this important and evolving field.

Prof. Dr. Paul Immanuel Heidekrueger
Prof. Dr. Peter Niclas Broer
Prof. Dr. Denis C. Ehrl
Guest Editors

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Keywords

patient-specific reconstructive procedures
microsurgical precision techniques
autologous tissue transplantation
digital imaging and customization
biomaterials in reconstructive surgery
tissue engineering for plastic reconstruction
flap surgery innovations
personalized cleft surgery
personalized aesthetic surgery

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Research

16 pages, 1362 KiB

Open AccessArticle

Bariatric Surgery Before Abdominoplasty Is Associated with Increased Perioperative Anemia, Hemoglobin Loss and Drainage Fluid Volume: Analysis of 505 Body Contouring Procedures

by Tonatiuh Flores, Jana Schön, Christina Glisic, Kristina Pfoser, Celina Kerschbaumer, Martin S. Mayrl, Klaus F. Schrögendorfer and Konstantin D. Bergmeister

J. Clin. Med. 2025, 14(11), 3783; https://doi.org/10.3390/jcm14113783 - 28 May 2025

Viewed by 403

Abstract

Background: The global rise in obesity rates has led to an increase in bariatric procedures, resulting in more patients needing relief from excess skin through body contouring surgeries (BCS), such as abdominoplasty. Although these procedures are generally considered safe, they can be associated with notable perioperative complications, including increased Hb-loss (hemoglobin loss) and drainage fluid volumes. Thus, this study analyzed risk factors for prolonged fluid secretion after abdominoplasty. Methods: We retrospectively analyzed 505 body contouring procedures performed between January 2018 and December 2023 at the Department of Plastic Surgery at the University Clinic of St. Poelten. The investigation focused on postoperative Hb-loss, drainage fluid volumes and hemoglobin levels in patients, comparing those with and without prior bariatric surgery. Statistical analyses utilized the t-test for Equality of Means, while correlation analyses were conducted using Spearman Rho and the Mann–Whitney U test. Results: Bariatric patients demonstrated markedly reduced hemoglobin levels both preoperatively (13.24 g/dL) and postoperatively (10.68 g/dL) compared to their non-bariatric counterparts (14.02 g/dL preoperatively and 11.71 g/dL postoperatively; p < 0.001). The prevalence of anemia was likewise substantially higher in the bariatric cohort, rising from 14.52% preoperatively to 82.48% postoperatively, versus 6.25% and 61.25%, respectively, in the non-bariatric group (p = 0.001). Moreover, prior bariatric surgery was significantly associated with increased postoperative drainage volume (p = 0.009) and prolonged operative time (p = 0.002). Notably, extended hospital stays exhibited a strong correlation with postoperative anemia (p = 0.005). Conclusions: Collectively, our findings underscore the potential risk of increased hemoglobin loss at BCS after bariatric weight loss. Tailored hemoglobin management and nutritional strategies are essential to improve the outcomes and safety of post-bariatric BCS. Meticulous preoperative identification of hematological discrepancies and adequate patient preparation are imperative for positive postoperative patient safety. Full article

(This article belongs to the Special Issue Advancements in Individualized Plastic and Reconstructive Surgery: Second Edition)

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