Intraabdominal Pressure in Abdominoplasty Patients

Neto, Lincoln Graça; Araújo, Luiz Roberto Reis de; Rudy, Marcelo Roberto; Auersvald, Luiz Augusto; Graf, Ruth

doi:10.1007/s00266-004-5026-x

Cited by 31 publications

(19 citation statements)

References 16 publications

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“…[22] The operative technique has at least two maneuvers that result in IAP elevation: plication of the rectus muscle and flap resection. [23] In this study, we found no change in respiratory dynamics regardless the type of ventilatory mode in response to change in IAP after plication of the rectus muscle.…”

Section: Discussioncontrasting

confidence: 44%

Effect of switching between pressure-controlled and volume-controlled ventilation on respiratory mechanics and hemodynamics in obese patients during abdominoplasty

Messeha

2017

Anesth Essays Res

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Background:The ideal intraoperative ventilation strategy in obese patients remains obscure. This prospective, randomized study was designed to evaluate the effect of pressure-controlled ventilation (PCV) before or after volume-controlled ventilation (VCV) on lung mechanics and hemodynamics variables in obese patients subjected to abdominoplasty operation.Patients and Methods:The study included forty patients with body mass index 30–45 kg/m2 subjected to abdominoplasty. All patients were randomly allocated in two groups after the induction of general anesthesia (twenty patients each), according to intraoperative ventilatory strategy. Group I (P-V): started with PCV until the plication of rectus muscle changes into VCV till the end of surgery. Group II (V-P): started with VCV until the plication of rectus muscle changes into PCV till the end of surgery. Lung mechanics, hemodynamics variables (heart rate and mean blood pressure), and arterial blood gases (ABGs) were recorded.Results:No significant difference in the hemodynamics and ABGs were recorded between the studied groups. The use of PCV after VCV induced the improvement of lung mechanics.Conclusion:Switching from VCV to PCV is preferred to improve intraoperative oxygenation and lung compliance without adverse hemodynamic effects in obese patients.

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Section: Discussioncontrasting

confidence: 44%

Effect of switching between pressure-controlled and volume-controlled ventilation on respiratory mechanics and hemodynamics in obese patients during abdominoplasty

Messeha

2017

Anesth Essays Res

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“…The mean age of patients in group A was 37.2 ±4.5 years, range (28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42). In group B was 38.7± 3.2 years, range (30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41). The mean Body Mass Index (BMI) of patients in Group A was 28.9±1.8, range (27.5-29.8), range.…”

Section: Resultsmentioning

confidence: 99%

“…Neto et al, [30] performed analysis of postoperative intraabdominal pressure after abdominoplasty. All subjects of their study were healthy female with ages varying from 28 to 47 years old, which is similar group of patients like in this study.…”

Section: Discussionmentioning

confidence: 99%

“…In both studies monitoring of IAP was performed through a bladder catheter, which is a simple, minimally invasive, low-cost and easily performed method. IAP of their study vary from 12 Al-Basti et al, [30] studied the intraabdominal pressure changes after full abdominoplasty in obese multiparous patients, they were performing the conventional vertical plication of the rectus fascia technique for all patients, and they discovered that the increase in intraabdominal pressure is not statistically or clinically significant.…”

Section: Discussionmentioning

confidence: 99%

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Patient Satisfaction with Posterior Versus Posteromedial Brachioplasty Scar

Naggary

Aziz

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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“…In addition to the increase of intraabdominal pressure caused by different maneuvers used to correct myoaponeurotic laxity, [9][10][11] there is also the effect of abdominal flap traction, which can be transferred to the abdominal cavity. [13][14][15] In 1996, Matarasso brought to light the hypothesis that the use of compression garments could be one of the reasons for the increase of intraabdominal pressure, thus generating a higher incidence of deep venous thrombosis and pulmonary embolism after abdominoplasty. Some authors have measured the intraabdominal pressure by using an intravesical catheter and have stated that it does increase during the early postoperative period.…”

mentioning

confidence: 99%