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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

1999, Number 3

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Cir Plast 1999; 9 (3)

Clinical experience in abdominoplasty

Pérez-Ávalos JL, González ZG

Language: Spanish
References: 28
Page: 112-119
PDF size: 1528.48 Kb.


ABSTRACT

The experience in surgical management of 50 consecutive cases of female patients with abdominal deformity corresponding to Matarasso´s type IV classification, all of them had abdominoplasty with modified Grazer’s approach and an 8 to 24 month follow-up is presented. Technical details, like planning of vertical results in scar lateral portions, preservation of the innominated fascia, and creation of a new umbilical scar are reviewed. Results were considered good when the objectives were complied in abdominal wall reinforcement, diminishing in abdominal circumference and improvement of body contour. Major complication was deep venous thrombosis in the leg (2%) of one patient, and the minor complication were hypertrophic scar in eight cases (16%), umbilical estenosis in two patients (4%) and serums in two cases (4%), with patients satisfaction. It was concluded that the proposed technique is a good choice in these patients management, with consistent and predictable results. The preservation of the innominated fascia contributes to decrease the serum incidence and a modification of Matarasso´s classification is proposed.


REFERENCES

  1. Matarasso A. Abdominolipoplasty. Clin Plast Surg 1989; 16: 2.

  2. Grazer FM. Suction-assisted lipectomy, suction lipectomy, lipolysis and lipexeresis. Plast Reconstr Surg 1983; 72: 620.

  3. Corzo SA, Grajeda LP, Valdés GJ. Abdominoplastia: Lipectomía del colgajo. Cir Plást 1993; 3: 4-10.

  4. Contreras DA. Plastia umbilical en dermolipectomías. Tesis de postgrado, División de estudios de postgrado, Facultad de Medicina. UNAM, 1994.

  5. Testut L, Jacob 0. Compendio de anatomía topográfica. Barcelona: Salvat, 1965.

  6. Testut L, Jacob 0, Billet H. Atlas de disección por regiones. Barcelona: Salvat, 1965.

  7. Huger WE Jr. The anatomic rationale for abdominal lipectomy. Am J Surg 1979; 45:612

  8. Johnson D, Dixon AK, Abrahams PH. The abdominal subcutaneous tissue: computed tomographic, magnetic resonance, and anatomical observations. Cin Anat 1996; 9: 1.

  9. Alexander HG, Dugdale AE . Fascial planes within subcutaneous fat in humans. Eur J Clin Nutr 1992; 46: 12.

  10. Markman B. Anatomy and physiology of adipose tissue. Clin Plast Surg 1989; 16: 2.

  11. Del Valle GO, Combs P, Qualis C, Curet LB. Does closure of Camper fascia reduce the incidence of post-cesarean superficial wound disruption? Obstet Gynecol 1992; 80: 6.

  12. Worseg AP; Kuzbars Scarpa’s fascia flap: anatomic studies and clinical applications. Plast Reconstr Surg 1997; 99: 5.

  13. Koshima I, Inagawa K. Scarpa’s adipofascial flap for repair of wide scalp defects. Ann Plast Surg 1996; 36: 1.

  14. Spyron, GE, Watt, AL and Naylor IL. The origin and mode of fibroblast migration and proliferation in granulation tissue. Br J Surg 1998; 51: 455.

  15. Ribeiro L, Accorsi AJ, Buss A. Miniabdominoplasty: Indications and technique. Aesth Plast Surg 1998; 22: 313.

  16. Crestinu JM. Scarless infraumbilical abdominal lifting. Plast Reconstr Surg 1998; 101: 1.

  17. Grolleau JL, Lavigne B, Chavoin JP, Costagiola M. A predetermined design for easier aesthetic abdominoplasty. Plast Reconstr Surg 1998; 101: 1.

  18. Baroudi R. Body contour surgery. Clin Plast Surg 1989; 16: 2.

  19. González M, Guerrerosantos J. Deep planed torso-abdominoplasty combined with buttocks pexy. Aesth Plast Surg 1997; 21: 245.

  20. Zukowsky A, Ash K, Spencer D, Malanoski M, Moore G. Endoscopic intracorporeal abdominoplasty: a review of 85 cases. Plast Reconstr Surg 1998; 102: 2.

  21. Lockwood T. Rectus muscle diastasis in males: Primary indication for endoscopically assisted abdominoplasty. Plast Reconstr Surg 1998; 101: 6.

  22. Core G. Discussion: Rectus muscle diastasis in males: primary indication for endoscopically assisted abdominoplasty. Plast Reconstr Surg 1998; 101: 6.

  23. Marques A, Brenda E. Abdominoplasty with two fusiform plications. Aesth Plast Surg 1996; 20: 249.

  24. Nahas FX, Augusto SM, Ghelfond C. Should diastasis recti be corrected? Aesth Plast Surg 1997; 21: 4.

  25. Netscher DT, Wigoda P, Spira M, Peltier M. Musculoaponeurotic plication in abdominoplasty: How durable are its effects? Aesth Plast Surg 1995; 19: 531.

  26. Mckinney PW. Year book of plastic, reconstructive and aesthetic surgery. Aesthetic-commentary (4), St. Louis MO, 1998: 184.

  27. Margery LS, Gass M. Does abdominoplasty predispose to pelvic relaxation? Plast Reconstr Surg 1990; 86: 930.

  28. Grazer FM, Goldwin M. Abdominoplasty assessed by survey, with emphasis on complications. Plast Reconstr Surg 1977; 59: 513.




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