Abdominoplasty with “Scarpa Fascia” preservation: Case Report

Iannelli, Antonio; Ciancio, Francesco; Annoscia, Paolo; Vestita, Michelangelo; Perrotta, Rosario Emanuele; Giudice, Giuseppe; Robertis, M. De

doi:10.1016/j.ijscr.2018.04.038

Cited by 3 publications

(3 citation statements)

References 15 publications

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“…Its section at the level of the inguinal ligament, as in other techniques, causes a discontinuation of the lymphatic vessels. The saving of the Scarpa fascia, according to different Authors, would allow the reduction of the volume of drained fluid, the time spent by the drains, and the average hospital stay (31). Many authors recommended the preservation of the Scarpa fascia (22,(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34) up to the umbilical level; other authors proposed only the preservation of the underlying fascial fat (26,27).…”

Section: Discussionmentioning

confidence: 99%

“…The saving of the Scarpa fascia, according to different Authors, would allow the reduction of the volume of drained fluid, the time spent by the drains, and the average hospital stay (31). Many authors recommended the preservation of the Scarpa fascia (22,(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34) up to the umbilical level; other authors proposed only the preservation of the underlying fascial fat (26,27). We noticed an anatomical difference between the Scarpa fascia in men and women based on our experience: the fascia in men is thinner and more irregular, so it requires careful handling.…”

Section: Discussionmentioning

confidence: 99%

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Abdominoplasty after massive weight loss. Safety preservation fascia technique and clinical outcomes in a large single series-comparative study

Cannistrà,

Lori,

Arapis

et al. 2024

Front. Surg.

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IntroductionWeight loss after bariatric surgery causes very important modifications to the patient's silhouette. Abdominal fat and skin excess reduction are associated with several complications. The most frequent are seroma and hematoma whereas major complications, such as pulmonary embolism, are less frequent. This study aimed to describe our technical procedure for abdominoplasty in patients with massive weight loss after bariatric surgery.MethodsIn total, 196 patients were included. All patients who underwent abdominoplasty classic (group A) and abdominoplasty with the preservation and lift of Scarpa fascia (group B) and with umbilical transposition between May 2018 and May 2021 were included. Patients with concomitant correction of ventral hernia were excluded. Demographic and operative data were analyzed according to comorbidities and postoperative complications.ResultsThere were 160 (81.6%) women. The mean age was 43.6 years; the mean weight was 86.7 kg; and the mean BMI was 28.6 kg/m2. Five patients (2.5%) presented postoperative seroma. Four patients (2%) presented partial dehiscence/skin necrosis one of them requiring a revision. Finally, 26 patients presented a postoperative complication, with an overall incidence of 12.6%. The average postoperative hospital stay was 3.6. The rates of seroma were significantly higher in men, patients with a BMI > 30 kg/m2, and aged >50 years.ConclusionPreserving Scarpa Fascia during surgical post-bariatric patient procedures reduces the seroma formation and the scar complication and reduces the tension of the inguinal-pubic region with correction of our deformation after weight loss. Improves reducing the drain and reducing seroma incidence suction and hospital stay.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Abdominoplasty after massive weight loss. Safety preservation fascia technique and clinical outcomes in a large single series-comparative study

Cannistrà,

Lori,

Arapis

et al. 2024

Front. Surg.

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“…[4] The advantages of preserving the Scarpa's fascia are: decreasing the total drain output, decreasing the time to drain removal [8] and contouring the waist. [5] Le Louarn [6,7] mentioned that preservation the deep fat compartment respects the anatomic structures of the abdomen and provides a well vascularized tissue with the accompanying lymphatic vessels, which speeds up recovery and reduces seroma occurrence.…”

Section: Discussionmentioning

confidence: 99%

Efficacy And Saftey of Scarpa’s Fascia Preservation during Abdominoplasty; A Comparative Randomised Study

K.Badi

A.Yousef²,

M.Zidan³

et al. 2022

Benha Journal of Applied Sciences

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Objectives the study aims to evaluate the efficacy and safety of preservation of scarpa's fascia in abdominoplasty and compare it with conventional abdominoplasty in terms of surgical site infection, seroma, drain volumes, time of drain removal and hospital stay. Patients and methods The current study was carried on 40 female cases seeking for truncal body contouring. Their ages ranged between 20 and 65 years, and BMI ranged from 25 to 35. BMI above 35, previous abdominal surgery, any associated hernias, postbariatric surgery, smokers, and comorbid diseases such as diabetes, chronic obstructive airway disease, and autoimmune, liver, and renal diseases were excluded. Results With Scarpa's fascia preservation, the mean total drain output with scarpa's preservation (161 ± 39.99) was much lesser than the classic abdominoplasty (554.5 ± 200.9); moreover, drains were removed earlier with Scarpa's fascia preservation (2.95 ± 0.22 days) in comparison with classical abdominoplasty (5.55 ± 1.10 days). All patients passed without seroma formation in Scarpa's fascia preservation in group A; however, 2 cases presented with wound dehiscence (10%). In traditional abdominoplasty (group B), seroma was detected in a two cases (10%), umbilical ischemia in a single case (5%) and a single case (5%) presented with full-thickness infraumbilical necrosis in zone I. Conclusion Preservation of Scarpa's fascia during scarpa's preservation abdominoplasty reduces patient recovery in the form of reducing total drain output, time for drain removal, and hospital stays in comparison with traditional abdominoplasty. Its disadvantages include longer operative time.

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Traditional abdominoplasty versus dual-plane abdominoplasty in abdominal contouring

Gad¹,

Marakby²,

Mohammed³

et al. 2019

The Scientific Journal of Al-Azhar Medical Faculty, Girls

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Objectives The study aims to evaluate the effect of Scarpa's fascia preservation on the results and complications of abdominoplasty through a prospective randomized comparative study between the dual-plane and traditional abdominoplasty. Patients and methods The current study included 40 cases with redundant and/or bulged abdomen seeking abdominoplasty. Their ages ranged between 25 and 50 years, and BMI ranged from 25 to 35. BMI above 35, previous abdominal surgery, any associated hernias, postbariatric surgery, smokers, and comorbid diseases such as diabetes, chronic obstructive airway disease, and autoimmune, liver, and renal diseases were excluded. Results With Scarpa's fascia preservation, the mean total drain output in the dual plane (175.5±35.9 ml) was much lesser than the classic abdominoplasty (479.5±177.27 ml); moreover, drains were removed earlier with Scarpa's fascia preservation (2.9±0.31 days) in comparison with classical abdominoplasty (5.5±1.92 days). All patients passed without seroma formation in Scarpa's fascia preservation in group B; however, full-thickness infraumbilical necrosis in zone I occurred in a single case (5%) and hypertrophic scar in two (10%) cases. In classic abdominoplasty (group A), seroma was detected in a single case (5%), umbilical stenosis in a single case (5%), a single case (5%) presented with full-thickness infraumbilical necrosis in zone I, and a single case (5%) developed hypertrophic scar. Conclusion Preservation of Scarpa's fascia during dual-plane abdominoplasty reduces patient recovery in the form of reducing total drain output, time for drain removal, and hospital stays in comparison with traditional abdominoplasty. Its disadvantages include longer operative time and incompatibility when mesh reinforcement of the abdominal wall is needed.

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Abdominoplasty with “Scarpa Fascia” preservation: Case Report

Cited by 3 publications

References 15 publications

Abdominoplasty after massive weight loss. Safety preservation fascia technique and clinical outcomes in a large single series-comparative study

Abdominoplasty after massive weight loss. Safety preservation fascia technique and clinical outcomes in a large single series-comparative study

Efficacy And Saftey of Scarpa’s Fascia Preservation during Abdominoplasty; A Comparative Randomised Study

Traditional abdominoplasty versus dual-plane abdominoplasty in abdominal contouring

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