A Case of Abdominoplasty after Removal of Giant Ovarian Cyst

When treating a giant ovarian cyst, management of inferior vena cava (IVC) syndrome, bleeding, abdominal competence, and cosmetic appearance are difficult. The details of abdominoplasty for patients with such a cyst have not been discussed. We presented a patient requiring 85, 000 ml of fluid evacuation before surgery. Redundant skin was removed by “anchor-line abdominoplasty,”1 and distended muscles and fascia were folded toward the umbilicus. We pressed the wound margin by snare before skin excision to reduce bleeding.2 Total blood loss was 1414 ml. Chest and abdominal shape improved about 6 months later. The complications included serous fluid pooling and abscess formation between the folded muscles. Although there are some disadvantages, we think abdominal muscle plasty for an extremely loosened abdominal wall is appropriate to maintain abdominal wall competence.