Some problems and solutions in abdominoplasty

Guerrerosantos, José; Spaillat, Luis; F, Morales; Dicksheet, Sharadkumar

doi:10.1007/bf01575222

Cited by 25 publications

(4 citation statements)

References 2 publications

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“…In 1980, Guerrerosantos et al [ 31 ] described a technique that avoids damage to the tissues of the inguinal area, although the goal is not to preserve the lymphatic trunks. According to the authors, this technique leaves a 2- to 3-cm fat layer attached to the skin, similar to that resulting from undermining in rhytidoplasty, which is very superficial for an abdominal dissection.…”

Section: Points For Further Discussionmentioning

confidence: 99%

“…In their article, Guerrerosantos et al [ 31 ] do not use the word “seroma,” but rather “residual lymphoedema from damaged vessels and lymphatics,” which is not the same thing. Lymphoedema induces swelling of the inferior border of the abdominal flap due to a decrease in drainage of the vessels and lymphatics.…”

Section: Points For Further Discussionmentioning

confidence: 99%

“…The authors summarize their technique as follows: “Problem: cutaneous anesthesia or paresthesia. Solution: superficial inguinal incision and superficial undermining in the lower lateral abdomen and upper thigh” [ 31 ]. They make no connection between this very superficial dissection plane and the prevention of seroma, which was the most frequent complication of abdominoplasty when their paper was published.…”

Section: Points For Further Discussionmentioning

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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Section: Points For Further Discussionmentioning

confidence: 99%

Section: Points For Further Discussionmentioning

confidence: 99%

Section: Points For Further Discussionmentioning

confidence: 99%

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The High-Superior-Tension Technique: Evolution of Lipoabdominoplasty

Louarn¹,

Pascal²

2010

Aesth Plast Surg

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“…Procedimentos inovadores de contorno abdominal foram criados na década de 1960 na América do Sul [1][2][3] . Modificações subsequentes não violaram os princípios básicos de uma incisão abdominal transversa baixa, plicatura de musculatura abdominal, ressecção do excesso de retalho abdominal e transposição/criação de umbigo [4][5][6][7] .…”

Section: Introductionunclassified

Preservação e suspensão da fáscia de Scarpa na abdominoplastia

Hurwitz

2010

Rev. Bras. Cir. Plást. (Impr.)

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Wulkan M & Hurwitz D Preservação e suspensão da fáscia de Scarpa na abdominoplastia The preservation and suspension of Scarpa's fascia in abdominoplasty RESUMO Introdução: Muitos estudos já foram feitos para buscar uma abdominoplastia mais atrativa, segura e com menos riscos. Enquanto as táticas e técnicas variam, pouco se fala sobre a preservação e suspensão da fáscia de Scarpa. Método: Os autores realizaram um estudo retrospectivo, demonstrando sua experiência com a lipoabdominoplastia clássica com a preservação e suspensão da fáscia de Scarpa, em 235 pacientes, nos últimos 5 anos. A maioria dos pacientes teve grande perda de peso e foi submetida a vários procedimentos de contorno corporal. Resultados: A incidência de complicações relacionada à abdominoplastia com suspensão da fáscia de Scarpa foi baixa (5,9%) e a técnica promoveu bons resultados estéticos. Complicações e contorno corporal favorável pós-cirúrgico são detalhados neste estudo. Conclusões: Procedimentos de contorno corporal com suspensão da fáscia de Scarpa promovem boa silhueta, adequado acomodamento do retalho abdominal e relaxam a tensão da área próxima da virilha. Descritores: Abdome/cirurgia. Perda de peso. Obesidade. Cirurgia plástica. SUMMARY Background: Many studies have been done in the quest for a safer, lower risk and more attractive abdominoplasty. Techniques and tactical approach may vary and few are said about preservation and suspension of Scarpa's fascia. Methods: This retrospective report presents our experience with lipoabdominoplasty along with preservation and suspension of Scarpa's fascia in 235 cases, over the past five years. Most patients had massive weight loss and were submitted to multiple operations. Results: Complication rate related directly to abdominoplasty with suspension of Scarpa's fascia was low (5.9%) and the technique resulted in nice and smooth contour. Complications and favorable contour outcome are detailed in this study. Conclusion: Abdominal contour procedures with Scarpa's suspension promotes a nice silhouette, promotes better accommodation for the abdominal flap and takes up tension of the groin region.

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Abdominoplasty

Guerrerosantos¹,

Fisher²

1985

Comprehensive Manuals of Surgical Specialties

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Some problems and solutions in abdominoplasty

Cited by 25 publications

References 2 publications

The High-Superior-Tension Technique: Evolution of Lipoabdominoplasty

The High-Superior-Tension Technique: Evolution of Lipoabdominoplasty

Preservação e suspensão da fáscia de Scarpa na abdominoplastia

Abdominoplasty

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