Improvements in Vertebral-Column Angles and Psychological Metrics After Abdominoplasty With Rectus Plication

Abstract

Abdominoplasty with rectus plication improves posture by tightening the thoracolumbar fascia. In selected patients, abdominoplasty can reduce back and lumbar pain, thereby improving quality of life.

Diastasis of rectus abdominis muscles in low back pain patients

“…Al-Basti [30] also reports only minimal IAP change after abdominoplasty. But alleviation of chronic LBP has been reported after abdominoplasty surgical procedures [16,31,32]. The reason maybe that the surgical repair does not change muscle coordination and IAP neural control, it only targets biomechanical but not the neurophysiological aspect of IAP regulation.…”

“…The reason maybe that the surgical repair does not change muscle coordination and IAP neural control, it only targets biomechanical but not the neurophysiological aspect of IAP regulation. As Temel suggests [16], the positive effect of surgical DRA correction on LBP may result from postural changes, such as decreased thoracic kyphosis, lumbar lordosis and lumbosacral angle improving posture by tightening the thoracolumbar fascia. Unfortunately, in our study only small number of participants presented with DRA (n = 16) and therefore we could not test the influence of DRA size and dynamics on LBP.…”

“…In addition, women with DRA at 6 months A U T H O R C O P Y postpartum were not more likely to report lumbopelvic pain than women without DRA [5]. Temel states that substantial fluctuations in body weight can result in DRA [16] and reports significant improvements in posture, lumbar pain reduction and quality of life improvement after abdominoplasty in a group of 40 women. Extensive research explores relationship between BMI and LBP [34][35][36] but, to the best of our knowledge, this is the first study attempting to link BMI, DRA and LBP in a general sample, not just pregnant or postpartum women.…”

“…Given research suggesting that DRA may compromise postural stabilization strategies [16], it is also possible that it is related to LBP. However, to our knowledge no study has been done yet to examine specifically the association between DRA and LB in general population, not just postpartum or pregnant women.…”

Estado del arte de la plicatura de rectos

“…A pesar de que ninguno superó los valores preestablecidos, uno de los pacientes intercurrió con un íleo y otro con difi cultad respiratoria, los cuales se autolimitaron en el transcurso del primer dia. A pesar de que a mayor plicatura mayor tensado de la pared, y por ende de la fascia toracolumbar, la plicatura de los bordes internos de los rectos también generaría una mejora en el dolor lumbar como lo demuestra Temel 25 , en un estudio prospectivo de 40 pacientes sometidas a abdominoplastia con plicatura de rectos convencional, donde observó una disminución del do-lor lumbar evaluada con cuestionarios validados y una mejoría de la lordosis lumbar y de los ángulos lumbosacros evidenciado con radiografías mediante la técnica de Cobb. Ninguno de las pacientes sufrió complicaciones por aumento de presión abdominal a los 6 meses posoperatorio.…”