Scarpa Fascia Preservation during Abdominoplasty

Costa‐Ferreira, António; Rebelo, Marco; Silva, Álvaro; Vásconez, Luis O.; Amarante, José

doi:10.1097/prs.0b013e31827c704b

Cited by 72 publications

(42 citation statements)

References 25 publications

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“…The study by Costa-Ferreira et al 40 attempts to definitively answer the question regarding any benefit of Scarpa fascia preservation, 40 as hypothesized in their earlier study. 50 The fact that the present study that does not include Scarpa fascia preservation also features a low seroma rate speaks against the conclusion that Scarpa fascia preservation alone is responsible for the reduced seroma rate.…”

Section: Discussionmentioning

confidence: 97%

“…The quality of the wound closure may be compromised. Costa-Ferreira et al 40 report a trend toward more wound healing problems among patients treated with Scarpa fascia preservation. Some proponents of lipoabdominoplasty recommend discarding the lower abdominal Scarpa fascia.…”

Section: Discussionmentioning

confidence: 99%

“…38 These authors report a greatly reduced rate of seromas. 39 Costa-Ferreira et al 40 recently published a prospective randomized study of abdominoplasty patients, examining seroma risk in patients treated with and without preservation of the Scarpa fascia, reporting a significantly reduced rate of this complication in patients treated with preservation of the Scarpa fascia.…”

Section: Discussionmentioning

confidence: 99%

“…In fact, leaving behind this partially dissected layer of fat and connective tissue, which may be subjected to the additional trauma of open liposuction, 39 might be expected to cause more exudate to leak into the wound. There is no evidence that the nature of the healing surfaces (fat or fascia) 40 is relevant to seroma formation. Quilting sutures have also been recommended to reduce seromas, 42–45 although there is a substantial extra commitment in operating time.…”

Section: Discussionmentioning

confidence: 99%

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Prospective Clinical Study of 551 Cases of Liposuction and Abdominoplasty Performed Individually and in Combination

Swanson

2013

Plastic and Reconstructive Surgery Global Open

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Prospective Clinical Study of 551 Cases of Liposuction and Abdominoplasty Performed Individually and in Combination

Swanson

2013

Plastic and Reconstructive Surgery Global Open

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“…Traccionamos los colgajos bilaterales en sentido ínfero-medial, de manera que coincidan con la incisión quirúrgica, cortando desde el ángulo externo de la incisión hasta la línea alba con bisturí 22 o 24. Realizamos la incisión y exéresis de los colgajos en línea recta y cerramos por planos anatómicos con puntos separados de Vicryl ® 2/0, poniendo particular atención en el plano que va desde la fascia de Scarpa a la aponeurosis de los rectos y oblicuos abdominales (14,15). Dejamos drenajes a presión negativa (que retiramos a las 72 horas), cura oclusiva con vendajes autoadhesivos y faja compresiva (2,16) (Fig.…”

Section: Técnica Quirúrgicaunclassified

Abdominoplastia y pexia de pubis: estandarización de medidas

Ballestas-Campo¹,

Pomerane²

2014

Cir. plást. iberolatinoam.

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ResumenLa abdominoplastia es el procedimiento de elección para corregir la flacidez abdominal, la lipodistrofia supra e infraumbilical y la diástasis de los rectos abdominales. Los nuevos métodos aña-den liposucción para definir el contorno corporal.Presentamos una estandarización de medidas para lograr una cicatriz abdominal baja y pexia pubiana en casos de lipodistrofias tipo III y IV de Matarasso.Realizamos un estudio observacional, descriptivo y retrospectivo, evaluando las historias clínicas y las fotografías sobre 420 mujeres, con edades entre 18 y 63 años, intervenidas entre 2004 y 2011.Basamos la técnica quirúrgica en los siguientes principios: referencias anatómicas; medidas estandarizadas con la paciente de pie sobre zapatos de tacón alto para el trazado de una incisión suprapúbica baja, siguiendo diseño de los autores; pexia de pubis y región inguinal; cicatriz suprapúbica baja cubierta por un biquini estándar.El 70,95% de los casos (298 pacientes) correspondieron a abdomen grado IV de lipodistrofia, el 28,57% (120 pacientes) al grado III y el 0,47% (2 pacientes) al grado II según Matarasso. Las complicaciones más frecuentes fueron: seroma, (4,04%), alteraciones cicatríciales (7,37%), necrosis parcial y epidermolisis (2,38%) y estenosis umbilical (1,19%).Como conclusión creemos que la estandarización de medidas para el diseño de la cicatriz en la abdominoplastia permite obtener resultados estéticos predecibles y funcionales buenos: cicatriz baja cubierta por un biquini o ropa interior estándar, cicatriz umbilical ovalada, pexia de pubis y excelente definición del contorno abdominal y corporal, con baja tasa de complicaciones.Palabras clave Abdominoplastia, Cicatriz abdominoplastia, Contorno corporal. Nivel de evidencia científica IV AbstractThe abdominoplasty is the procedure of choice for correction of abdominal flaccidity, supra and infraumbilical lipodystrophy and diastasis of the abdominal muscles. New techniques include fascial plication of the rectus abdominis, traction of the external oblique muscle and liposuction to define the waist line.We present.standard measurements for low scar and pubic pexia, concealable with for lipodystrophy type III and IV of Matarasso.We conduct a retrospective observational study with 420 female patients, between 18 and 63 years, operated on between 2004 and 2011, reviewing medical records and photographsThe technique is based on the following principles: anatomical references; standard measures taken with the patient standing over high heels for plotting a low suprapubic incision, following the authors design; pubic pexia and low suprapubic scar covered by a standard bikini.Results: 70,95% (298 patients) had abdominal lipodystrophy grade IV, 28,57% (120 patients) had grade III and 0,47% (2 patients) had grade II according to Matarasso. The most common complications were: seroma (4,04%), scar tissue alterations (7,37%), partial necrosis and epidermolysis (2,38%) and umbilical stenosis (1,19%).In conclusion, the standardization of measures for the design of the abd...

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Physical properties of Scarpa's fascia

et al. 2023

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Preservation of Scarpa's fascia has improved clinical outcomes in abdominoplasty procedures and in other body contour surgeries. However, the physical properties of Scarpa's fascia have not yet been described, and grafts are still underexplored. Fresh surgical specimens from five female patients subjected to classical abdominoplasty were dissected and analyzed. A grid was drawn on the fascia surface, dividing it into equal upper and lower halves; four Scarpa's fascia samples (30 × 10 mm) were collected from each half, 40 mm apart. The thickness was measured with a caliper. A strain/stress universal testing machine was used for mechanical tests. Twenty‐five samples were obtained (nine from the upper half, 16 from the lower). The average thickness was 0.56 ± 0.11 mm. The average values for stretch, stress, strain, and Young's Modulus were, respectively, 1.436, 4.198 MPa, 43.6%, and 23.14 MPa. The upper half showed significantly greater thickness and strain values (p = 0.020 and p = 0.048; Student's t‐test). The physical and biomechanical properties of Scarpa's fascia can make it a donor area for fascial grafts as an alternative to fascia lata, as it is always available and has minimal donor‐site morbidity. Further studies are needed to validate this statement. It seems advantageous to use the lower half of the abdomen instead of the upper part as a donor site.

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Scarpa Fascia Preservation during Abdominoplasty

Abstract: Preservation of the Scarpa fascia during an abdominoplasty had a beneficial effect on patient recovery, as it reduced the total drain output, time to drain removal, and seroma rate without compromising the aesthetic result.

Cited by 72 publications

References 25 publications

Prospective Clinical Study of 551 Cases of Liposuction and Abdominoplasty Performed Individually and in Combination

Prospective Clinical Study of 551 Cases of Liposuction and Abdominoplasty Performed Individually and in Combination

Abdominoplastia y pexia de pubis: estandarización de medidas

Physical properties of Scarpa's fascia

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