TULUA Abdominoplasty: Unrestricted Liposuction and Wide Transverse Plication

Villegas, Francisco

doi:10.1007/978-981-19-4997-5_22

Cited by 3 publications

(2 citation statements)

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“…Comments about the technique and its growing indications have been published by well-known authors. [16][17][18][19][20][21][22][23] Although not directly applicable to humans, it has been demonstrated in an animal comparison study that TULUA diminishes tension in wound closure, preserves perforator vessels, and has less vascular-related complications. 24 The combination of liposuction and abdominoplasty has been performed since 1985.…”

Section: Discussionmentioning

confidence: 99%

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TULUA Lipoabdominoplasty: Transversal Aponeurotic Plication, No Undermining, and Unrestricted Liposuction. A Multicenter Study of 845 Cases

Villegas-Alzate¹,

Blugerman²,

Vera-Cucchiaro³

et al. 2021

Plastic &Amp; Reconstructive Surgery

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Background: TULUA (transverse plication, no undermining, full liposuction, neoumbilicoplasty, and low transverse abdominal scar) is the acronym for a radically different lipoabdominoplasty, intended to add simplicity, improve vascular safety, and attain good results. Modifications are unrestricted liposuction, no flap detachment, massive transverse infraumbilical plication, umbilicus amputation, neoumbilicoplasty, diminished tension wound closure, and low transverse scar settlement. The objectives of this article are to describe the technique and analyze a multicenter experience. Methods: Sixty-eight plastic surgeons from 10 countries provided data for a retrospective review of 845 patients. Aesthetic results were scored by each surgeon using the Salles scale and analyzed in combination with complications to identify associations between patient and surgery characteristics. Results: Of the patients, 95.5 percent were female, 19.7 percent were obese, 35.6 percent had prior scars, 10.4 percent had undergone previous abdominoplasty, 6.5 percent were postbariatric, and 6.6 percent were smokers. One patient had a kidney transplant, and 16.5 percent had comorbidities. Surgery characteristics varied widely, being on average as follows: lipoaspirate, 2967 ml; resection, 1388 g; and surgical time, 3.9 hours; 46.5 percent were not hospitalized. Averaged results were 8.68 of 10 points, besides adequate positioning and proportion of scar and umbilicus, without epigastric compensatory bulging (4.97 of 6 points). Overall complications were 16.2 percent, mostly seroma (8.8 percent); vascular-related complications (i.e., necrosis, wound dehiscence, and infection) constituted 2.7 percent. There were no fatalities. The logistic regression model demonstrated that smoking and obesity duplicate the risk of complications; if age older than 60 years is added, the risk of complication increases seven to nine times. Reported indications were multiple; however, pathologic diastasis was excluded. Conclusion: TULUA lipoabdominoplasty is a new reproducible procedure with good quantified results and an acceptable complication rate.

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Section: Discussionmentioning

confidence: 99%

“…Sixty-eight plastic surgeons from 10 countries, including Mexico, Egypt, the Caribbean, Central America, and South America, provided patient data from June of 2018 to June of 2019. 11,12 Every patient signed a consent form. The principles outlined in the Declaration of Helsinki have been followed.…”

Section: Methodsmentioning

confidence: 99%