Superficial fascial system repair: an abdominoplasty technique to reduce local complications after caesarean delivery

Abstract

Abdominal incision complications are a major source of morbidity after caesarean delivery. Repair of the superficial fascial system may avert local complications after caesarean delivery by minimising tension to the skin and increasing the initial biomechanical strength of wound which has the potential to decrease early wound dehiscence and as a by-product correct suprapubic bulging.

Biomechanical Properties of Skin in Massive Weight Loss Patients

“…There may be factors beyond the superficial dermal and epidermal skin components that hold unrecognized importance. It has been reported that in cesarian section patients repairing the superficial fascial system provides structural support to the skin and significantly increases the biomechanical strength of wound repair [30]. We did not study layers deep to the dermis in skin closure.…”

Postablative reconstruction of vulvar defects with local fasciocutaneous flaps and superficial fascial system repair

“…Local fasciocutaneous flaps are preferred for vulvar reconstruction because of their characteristics in terms of thickness, reliability and low morbidity. Tension may cause wound breakdown and also contribute to a restricted range of movement with associated discomfort [5]. Local fasciocutaneous flaps with SFS repair provide excellent design flexibility and can be designed and tailored to reconstruct postablative vulvar defects with good outcomes and minimal morbidity.…”

“…However, their use for postablative vulvar reconstruction has been limited in the literature [4]. Superficial fascial system (SFS) repair after flap transposition may avert local wound dehiscence by minimising tension to the skin through transfer of tension from the dermis to the deeper tissues [5]. The continuity of the dermis to the SFS ensures a direct energy transfer, and the oblique and vertical orientation of the SFS septae disperses the energy in a direction perpendicular to the wound tension [5].…”

“…The continuity of the dermis to the SFS ensures a direct energy transfer, and the oblique and vertical orientation of the SFS septae disperses the energy in a direction perpendicular to the wound tension [5]. Repair of the SFS increases the initial biomechanical strength of wound and has the potential to more effectively close dead space, reduce seroma formation and decrease early wound dehiscence [5]. The aim of this study was to determine the clinical outcome of local fasciocutaneous flaps used for postablative reconstruction of vulval defects in which the SFS was repaired.…”

“…Superficial fascial system (SFS) repair after flap transposition may avert local wound dehiscence by minimising tension to the skin through transfer of tension from the dermis to the deeper tissues [5]. The continuity of the dermis to the SFS ensures a direct energy transfer, and the oblique and vertical orientation of the SFS septae disperses the energy in a direction perpendicular to the wound tension [5]. Repair of the SFS increases the initial biomechanical strength of wound and has the potential to more effectively close dead space, reduce seroma formation and decrease early wound dehiscence [5].…”