Contouring The Hip and the Abdomen

Baroudi, Ricardo; Ferreira, Carlos Alberto

doi:10.1016/s0094-1298(20)32556-6

Cited by 41 publications

(7 citation statements)

References 3 publications

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“…Quilting sutures were first described by Baroudi and Ferreira [ 24 ], also in 1996. This is a key point in surgery: closure of the dead space minimizes effusion and extension of hematoma.…”

Section: Points For Further Discussionmentioning

confidence: 99%

“…In other reports, Baroudi and Ferreira [ 24 , 25 ] described their use of a handlebar incision that follows the natural inguinal curve and quilting sutures to close the dead space, which prevents seroma. In 2000, Pollock and Pollock [ 26 ] presented a retrospective review of 65 consecutive patients who underwent abdominoplasty with progressive tension sutures to close the dead space and lightly lower the abdominal flap.…”

Section: Hstamentioning

confidence: 99%

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The High-Superior-Tension Technique: Evolution of Lipoabdominoplasty

Louarn¹,

Pascal²

2010

Aesth Plast Surg

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Because abdominoplasty is associated with complications such as seroma and necrosis as well as epigastric bulging and a suprapubic scar located too high, the demand for this procedure is not as high as it otherwise might be. However, although these negative effects were common many years ago, their incidence has decreased dramatically with modern abdominoplastic techniques. One approach using a combination of abdominoplasty and liposuction or lipoabdominoplasty has resolved many of the problems faced with earlier techniques, offering aesthetically pleasing results and excellent reliability. The keys to successful lipoabdominoplasty, first developed as the high-superior-tension technique, are extensive liposuction, preservation of lymphatic trunks, preaponeurotic epigastric dissection, major muscle fascia plication, two high-tension paraumbilical sutures, hypogastric tension sutures, and closure of the dead spaces. The most recent updates to this technique are described in this article.

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“…Quilting sutures were first described by Baroudi and Ferreira [ 24 ], also in 1996. This is a key point in surgery: closure of the dead space minimizes effusion and extension of hematoma.…”

Section: Points For Further Discussionmentioning

confidence: 99%

Section: Hstamentioning

confidence: 99%

The High-Superior-Tension Technique: Evolution of Lipoabdominoplasty

Louarn¹,

Pascal²

2010

Aesth Plast Surg

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“…Today, abdominoplasty is performed after bariatric surgery, combined with liposuction, to improve body contour of normal-weight patients and/or repair rectus muscle diastasis or abdominal hernia (postpregnancy or not). 3–10…”

Section: Introductionmentioning

confidence: 99%

Aesthetic and Functional Abdominoplasty: Anatomical and Clinical Classification based on a 12-year Retrospective Study

Klinger

Giannasi

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Background: Abdomen reshaping is a common plastic surgery procedure, and numerous surgical techniques have been described in the scientific literature. To standardize surgical approach, we propose our protocol that correlates patients’ anatomy with the type of procedure performed. Methods: Between 2008 and 2020, we retrospectively analyzed 582 consecutive female patients who underwent abdomen reshaping procedures, assessing anatomical features, complication rate, patient satisfaction, and surgical result, comparing them with previous reports in the literature. Aesthetic outcomes were evaluated with VAS scale (0–10). Results: Among the 582 patients recruited in the study, we performed 74 liposuctions as a single procedure, 62 mini-abdominoplasties, 28 T-inverted abdominoplasties, and 418 full-abdominoplasties. Aesthetic outcome evaluation reported a mean value of 8.2 from patients and 7.8 from surgeons. We experienced four early postoperative bleedings requiring hemostasis revision, 18 wound dehiscences, five seromas, and 24 re-interventions for aesthetic issues. We found no differences in the complication rate while comparing our data with previous reports in the literature. Conclusions: Our protocol and surgical technique have proved to be effective, safe, and reproducible, with high patient and surgeon satisfaction, low complication rate, and fast recovery time.

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“…These techniques includes Plication from a transverse to vertical orientation, at single or multiple sites using absorbable or nonabsorbable sutures [2][3][4]. However, midline plication of the rectus sheath all through its length from origin to insertion has remained the most popular method of reducing musculoaponeurotic laxity [5,6].…”

Section: Introductionmentioning

confidence: 99%

Outcome of Use of Barbed Sutures in Augmentation Mastopexy: A Case Series

Aziz

Naggary

2019

The Egyptian Journal of Plastic and Reconstructive Surgery

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Introduction: The technique used for correction of rectus abdominis diastasis has been a debatable issue since the original description of abdominoplasty. The aim of this study is to assess the durability of the correction of midline diastases done by two different techniques (the rectus abdominis myofascial release technique and the conventional midline plication) and their effect on waist enhancement and its safety in the terms of the intraabdominal pressure changes and respiratory affection that occur after plication. Patients and Methods: The study was conducted on 12 females with body mass index less than 30, having Rohrich type IV B deformities. The patients were divided randomly into two groups based on the technique used for plication of anterior rectus sheath: Group (A) 6 patients underwent myofascial release technique, while group (B) 6 patients underwent conventional midline plication. The two groups were compared as regards; 1-The width of rectus diastasis using computed tomography of their anterior rectus abdominis sheath pre-and post-operatively at 1 and 6 and as regards 3 points: (A) At the umbilicus, (B) Midway between umbilicus and xiphoid process and (C) Midway between umbilicus and symphysis pubis 2-Waist hip ratio pre-and post-operatively at 1 and 6 months. 3-Evaluation of ventilatory function using spirometry and intraoperative measurement of intra-abdominal pressure before and after plication. Results: Post-operative follow-up time averaged 8 months (range 6-10 months). Group A showed significant decline in the diastasis distance and increase in WHR than group B. There was a significant reduction in spirometry values and increase in IAP in group A rather than group B after surgery but there was no clinical differences in the respiratory function between both groups. Conclusion: Plication of the anterior rectus sheath using myofascial repair technique showing nonsignificant residual diastasis six months post operatively and has a better effect on the waist enhancement than the conventional plication with no respiratory complication.

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Contouring The Hip and the Abdomen

Cited by 41 publications

References 3 publications

The High-Superior-Tension Technique: Evolution of Lipoabdominoplasty

The High-Superior-Tension Technique: Evolution of Lipoabdominoplasty

Aesthetic and Functional Abdominoplasty: Anatomical and Clinical Classification based on a 12-year Retrospective Study

Outcome of Use of Barbed Sutures in Augmentation Mastopexy: A Case Series

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