A New Method for Reducing Postoperative Complications and Scar Length in Abdominoplasty

Momeni, Arash; Torio-Padron, Nestor; Bannasch, Holger; Borges, José Leitão; Gb, Stark

doi:10.1097/01.prs.0000305388.11263.24

Cited by 6 publications

(6 citation statements)

References 3 publications

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“…It may therefore be worthwhile to surgically minimize scar length, without compromising tumour excision. Indeed other surgical forms are focusing on reducing scar length to improve outcome, for example, in haemangioma removal [ 39 ] and abdominoplasty [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

Sarcoma Excision and Pattern of Complicating Sensory Neuropathy

et al. 2014

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A potential complication of sarcoma excision surgery is a sensory neurological dysfunction around the surgical scar. This study utilised both objective and subjective sensation assessment modalities, to evaluate 22 patients after sarcoma surgery, for a sensory deficit. 93% had an objective sensory deficit. Light touch is less likely to be damaged than pinprick sensation, and two-point discrimination is significantly reduced around the scar. Results also show that an increased scar size leads to an increased light touch and pinprick deficit and that two-point discriminatory ability around the scar improves as time after surgery elapses. 91% had a subjective deficit, most likely tingling or pain, and numbness was most probable with lower limb sarcomas. Results also demonstrated that there were no significant relationships between any specific subjective and objective deficits. In conclusion, sensory disturbance after sarcoma surgery is common and debilitating. Efforts to minimize scar length are paramount in the prevention of sensory deficit. Sensation may also recover to an extent; thus, sensory reeducation techniques must become an integral aspect of management plans. Finally to obtain a comprehensive assessment of sensory function, both objective and subjective assessment techniques must be utilised.

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Section: Discussionmentioning

confidence: 99%

Sarcoma Excision and Pattern of Complicating Sensory Neuropathy

et al. 2014

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“…Various aspects of our surgical strategy and technique have been published previously. [23][24][25][26] The demographic data were collected from 3 sources for each patient: records created in our department at time of initial consultation, medical history form filled out by the patients at time of initial consultation, and last available general surgery records (for patients who have had bariatric surgery in our hospital). In case of discrepancy or missing data, anesthesiology records were consulted.…”

Section: Methodsmentioning

confidence: 99%

The Edmonton Obesity Staging System Predicts Postoperative Complications After Abdominoplasty

Šimunović

Bonaventura²,

Schneider³

et al. 2021

Ann Plast Surg

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Background This study investigates the relationship between Edmonton Obesity Staging System (EOSS) and the occurrence of postoperative complications after abdominoplasty in massive weight loss patients. Methods A single-institution retrospective review of patients undergoing abdominoplasty between 2009 and 2019 after massive weight loss. Demographic data, laboratory findings, known risk factors for postoperative complications, as well as data on major and minor complications were extracted from the patient charts. Logistic regression models were used to investigate the relationship between the variables. Results Four hundred and five patients were included in the study. The prevalence of EOSS stages was: 0 (no comorbidities, N = 151, 37%), 1 (mild conditions, N = 40, 10%), 2 (moderate conditions, N = 149, 36%) and 3 (severe conditions, N = 70, 17%). Regression analysis showed that, controlling for body mass index (BMI), BMI Δ (maximal BMI − BMI at presentation), bariatric surgery, volume of resected tissue, and duration of surgery, EOSS stage significantly associated with the occurrence of postoperative complications. Compared with EOSS stage 0, EOSS stages 2 and 3 patients were associated with significantly more minor and major complications, respectively. The volume of resected tissue, BMI Δ, and age were associated with the occurrence of major complications. A regression model of comorbidities comprising the EOSS revealed a significant association of variables diabetes mellitus and hypertension with the occurrence of postoperative complications. Conclusions Edmonton Obesity Staging System is a robust predictor of postoperative complications in abdominoplasty.

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“…Lockwood weitete das Konzept von Regnault mit der Einführung der so genannten "High-lateral-tension-Abdominoplastik" mit Suspension des superfiziellen Fasziensystems aus [5]. Es wurden weitere Modifikationen der "High-lateral-tension-Abdominoplastik" durch verschiedene Autoren beschrieben, beispielsweise die von uns veröffentlichte Technik zum Wundverschluss [6,7]. Durch diese wird ein deutlicher Straffungseffekt an den Flanken erzielt, konzentriert die maximale Spannung an der verschlossenen Wunde seitlich, reduziert die Narbenlänge und minimiert die postoperativen Komplikationen (l " Abb.…”

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“…In solchen Fällen ist eine erweiterte Plikatur der Rektusscheide, die so genannte "wide abdominal rectus muscle plication" (WARP), als Therapie zu empfehlen. Ferner gehört diese Technik in der Regel zu jeder Standardabdominoplastik als begleitende Maßnahme, wodurch eine natürlichere Abdominalkontur erzielt werden kann [7,9]. Patienten bei Zustand nach einem geringeren bis mittleren Gewichtsverlust und mit einer guten Hautqualität profitieren am meisten von einer Standardabdominoplastik.…”

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Körperformende plastisch-chirurgische Eingriffe nach massiver Gewichtsreduktion

Torio-Padron

Stärk²

2009

Zentralbl Chir

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With the advent of bariatric surgery, body contouring has grown to a new speciality in plastic surgery. Following massive weight loss, patients generally have skin redundancy on the trunk, buttocks, breast, upper arms, thighs and face, leading to a poor quality of life and social acceptance. This condition motivates many patients to consult a plastic surgeon to address these problems. Thus, plastic surgery has become an integral part of the surgical treatment of the morbidly obese. The aim of post-bariatric plastic surgery should be to restore a normal body image of the patient with as few surgeries as possible and with a tolerable risk. This article addresses different plastic surgery procedures that can be successfully applied in order to correct various body contouring deformities. Patient selection, technical details, pre- and postoperative care, possible complications and expected results are all discussed.

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A New Method for Reducing Postoperative Complications and Scar Length in Abdominoplasty

Cited by 6 publications

References 3 publications

Sarcoma Excision and Pattern of Complicating Sensory Neuropathy

Sarcoma Excision and Pattern of Complicating Sensory Neuropathy

The Edmonton Obesity Staging System Predicts Postoperative Complications After Abdominoplasty

Körperformende plastisch-chirurgische Eingriffe nach massiver Gewichtsreduktion

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