Corset Trunkplasty: Recommended with Abdominal Skin Laxity and Open Cholecystectomy Scar

Acevedo, Edwin; Nadhan, Kumar S.; Everett, Marc; Moya, Alexander P.; Bradley, James P.

doi:10.1097/prs.0000000000003988

Cited by 10 publications

(3 citation statements)

References 8 publications

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“…10 In our patient with an open cholecystectomy scar, it was established that the rate of complications, especially flap necrosis, increases if traditional abdominoplasty is performed. 3,5,6 As of other types of abdominal scars, the literature stands in an area of uncertainty and controversy when it comes to complication rate in patients undergoing traditional abdominoplasty. De Castro et al showed that the risk grows higher in patients with supraumbilical scars.…”

Section: Discussionmentioning

confidence: 99%

“…Hence, many surgeons refrain from abdominoplasty in high-risk patients. One of the populations at high risk of postoperative complications are patients with previous vertical or subcostal abdominal scars that have disruptive effect on the abdominal wall blood supply, undermining the results of abdominoplasty [3][4][5] ; patients with Kocher incision after open cholecystectomy pose a selection dilemma, as the rate of complications, especially wound healing issues, increases when traditional abdominoplasty is performed in patients with such incision. 3,6 To overcome this disadvantage, we propose a refinement in traditional abdominoplasty where the upper flap is treated as a delayed flap, as will be demonstrated in this case report, with excellent results and no postoperative complications.…”

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confidence: 99%

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Challenging the Subcostal Incision Scar with the Two-staged Abdominoplasty: An Innovative Approach

Mahabbat

Mardan²,

Mohamed

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Summary: Abdominoplasty is a commonly sought-after procedure due to its life-transforming results, but is limited, as in any other operation, by a number of contraindications. One of these contraindications is a subcostal scar, which may jeopardize blood supply to the upper flap of the abdominoplasty, resulting in skin necrosis. Herein, we challenge this dogma by introducing the two-staged abdominoplasty with the utilization of a delayed flap in a 48-year-old multiparous woman presenting with a Kocher incision of open cholecystectomy, with good results and a complication-free course of 3 postoperative months. We recommend this approach in patients with subcostal scars. However, more research into the utilization of delayed flaps in abdominoplasty should be done to have a more well-founded conclusion.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Challenging the Subcostal Incision Scar with the Two-staged Abdominoplasty: An Innovative Approach

Mahabbat

Mardan²,

Mohamed

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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“…2,3 To minimize complications of previous scars in abdominoplasty, some authors suggest lipoabdominoplasty and limited undermining, placing less tension on the flap closure, delaying it, or using a different type of resection, such as reverse or Corset abdominoplasty. 2,[4][5][6] The possibility of inferior aesthetic results and the high risk of complications must be carefully discussed with these patients. Noninvasive methods for evaluating abdominal wall perfusion may help surgeons decide on the best option in the presence of a subcostal scar.…”

Section: Introductionmentioning

confidence: 99%

Use of Infrared Thermography for Abdominoplasty Procedures in Patients with Extensive Subcostal Scars: A Preliminary Analysis

Valença‐Filipe

Vardasca

Magalhães

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Summary: Subcostal scars may increase the risk of healing complications in abdominoplasty. The authors evaluated the use of thermography as a potential tool for patient selection and surgery planning to avoid complications and improve abdominoplasty outcomes. Two candidates for abdominoplasty procedures who presented with extensive subcostal scars were submitted to an infrared thermography protocol at all phases of the procedure: preoperative, intraoperative, and postoperative at 1 and 6 months. The preoperative thermography for both patients revealed near-normal abdominal wall perfusion. The thermograms captured intraoperatively during flap elevation did not show perfusion deficits on the upper abdominal flap. At 1 month and 6 months postoperative, dynamic thermography for both patients showed normal to near-normal perfusion. The procedures had a complication-free course with a good aesthetic result. Plastic surgeons may be reluctant to perform a full abdominoplasty in patients with a previous subcostal incision. In this preliminary analysis, we raise the potential usefulness of thermography for patients with recent subcostal scars and/or important comorbidities as a strategy for adequate patient and technique selection, avoiding possible complications. Future studies, with an increased number of patients and adequate statistical analysis, may allow us to validate the utility of thermography in these cases and reassure that the presence of previous extensive subcostal scars may not be a contraindication for a full abdominoplasty, especially if they are not recent.

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Abdomen: Panniculectomy and Abdominoplasty

Gusenoff

2019

Managing Body Contouring Challenges and Complications

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Corset Trunkplasty: Recommended with Abdominal Skin Laxity and Open Cholecystectomy Scar

Abstract: Therapeutic, III.

Cited by 10 publications

References 8 publications

Challenging the Subcostal Incision Scar with the Two-staged Abdominoplasty: An Innovative Approach

Challenging the Subcostal Incision Scar with the Two-staged Abdominoplasty: An Innovative Approach

Use of Infrared Thermography for Abdominoplasty Procedures in Patients with Extensive Subcostal Scars: A Preliminary Analysis

Abdomen: Panniculectomy and Abdominoplasty

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