Seroma in lipoabdominoplasty and abdominoplasty: ultrasonographic comparative study

BACKGROUND: Seroma is one of the most common complications in abdominoplasty. OBJECTIVE: To compare the rate of seroma formation in patients who underwent either abdominoplasty and lipoabdominoplasty. METHODS: The sample consisted of 41 female patients, who were divided into three groups and underwent one of the following procedures: group A (n=21), abdominoplasty and group B (n=20), lipoabdominoplasty. In order to investigate seroma formation, abdominal ultrasound was performed in 5 regions of the abdominal wall [epigastrium (EPI), umbilical (UMB), hypogastrium (HYPO), right iliac fossa (RIF) and left iliac fossa (LIF)], at two postoperative periods: (P1), between postoperative days 11 and 14, and (P2), between postoperative days 18 and 21. RESULTS: The rate of seroma formation at both P1 and P2 was significantly higher in group A than in group B. It was observed that, in group A at P1, the regions RIF and LIF developed larger fluid collections. In group B, there were significantly larger fluid collections in the HYPO region at P1, and in the UMB and HYPO regions at P2. CONCLUSION: Lipoabdominoplasty is effective technique for the prevention of seroma compared with abdominoplasty.INTRODUÇÃO: O seroma é uma das complicações mais frequentes nas abdominoplastias. OBJETIVO: Comparar a incidência de seroma em pacientes submetidos à abdominoplastia convencional e à lipoabdominoplastia. MÉTODO: Foram estudadas 41 pacientes, divididas em dois grupos: Grupo A (21 pacientes submetidas à abdominoplastia convencional e Grupo B (20 pacientes submetidas à lipoabdominoplastia). Para a investigação da formação de seroma foi realizado ultrassonografia de cinco regiões da parede abdominal (epigástrio (EPI), umbilical (UMB), hipogástrio (HIPO), fossa ilíaca direita (FID) e fossa ilíaca esquerda (FIE)) em dois momentos: entre o 11º e o 14º dia de pós-operatório (DPO) (P1) e entre o 18º e 21º DPO (P2). RESULTADOS: A incidência de seroma tanto em P1 quanto em P2 foi significativamente maior no grupo A que no grupo B. Observou-se que no grupo A, no P1, as regiões FID e FIE apresentaram maior incidência de coleções fluidas. No grupo B, houve uma maior incidência de coleções fluidas na região HIPO em P1 e nas regiões UMB e HIPO em P2. CONCLUSÃO: Houve menor incidência de seroma nos pacientes submetidos à lipoabdominoplastia em relação à abdominoplastia convencional nos momentos estudados.SBCPUNIFESP-EPMUNIFESP-EPM Setor de Deformidades da Parede Abdominal da Disciplina de Cirurgia PlásticaUniversidade de Santo AmaroUNIFESP-EPM Departamento de CirurgiaUNIFESP-EPM Programa Pós-Graduação em Cirurgia PlásticaUNIFESP, EPM, Setor de Deformidades da Parede Abdominal da Disciplina de Cirurgia PlásticaUNIFESP, EPM Depto. de CirurgiaUNIFESP, EPM Programa Pós-Graduação em Cirurgia PlásticaSciEL

Components Separation Technique With Limited Subcutaneous Undermining A Cadaver Study

The purpose of this study is to evaluate the influence of the undermining of the subcutaneous tissue on the tension of the abdominal wall, after the components separation of the abdominal muscles. Twenty adult cadavers were studied. The resistance of the medial advancement of both anterior and posterior recti sheaths was represented by the traction index and measured in 2 levels-3 cm above and 2 cm below the umbilicus. Traction indices were compared in the following 3 consecutive dissection situations: (1) after the subcutaneous tissue undermining laterally to the semilunaris line; (2) after the dissection of the rectus muscle from its posterior sheath associated with the release of the external oblique muscle; (3) after the subcutaneous tissue undermining laterally to the anterior axillary line. Friedman and Spearman tests were used to compare the results. There was no statistical significant difference between the subcutaneous tissue undermining laterally to the semilunaris line and that laterally to the anterior axillary line, when associated with the musculoaponeurotic dissections. In conclusion, limited subcutaneous undermining does not influence the tension of closure of the musculoaponeurotic layer after the components separation technique in cadavers

Abdominoplasty and Its Effect on Body Image, Self-Esteem, and Mental Health

The impact of abdominoplasty on the quality of life of abdominoplasty patients was assessed 1- and 6-months postoperatively. Forty women aged 25 to 60 years were divided into study group (25 patients who underwent abdominoplasty) and waiting-list control group (15 patients). Three questionnaires (Body Shape Questionnaire [BSQ], Rosenberg Self-Esteem Scale [RSE/UNIFESP], and Short Form 36 Health Survey Questionnaire [SF-36]) were administered to the study group (preoperatively, 1- and 6-months postoperatively) and control group (on 2 occasions 6 months apart). A significant positive impact on body image, self-esteem, and mental health was found 1- and 6-months postoperatively. Significant differences were observed in role physical, role emotional, and vitality 1-month postoperatively. in the control group, significant differences were found for vitality. There was a significant improvement in Comparative perception of body image (6-month assessment) in the study group compared with controls. Abdominoplasty improved body image, self-esteem, and mental health.Universidade Federal de São Paulo, Sch Med, Grad Program Plast Surg, EPM, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Surg, Div Plast Surg, São Paulo, BrazilUniversidade Federal de São Paulo, Sch Med, Grad Program Plast Surg, EPM, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Surg, Div Plast Surg, São Paulo, BrazilWeb of Scienc

Seroma in Lipoabdominoplasty and Abdominoplasty: A Comparative Study Using Ultrasound

Background: Abdominoplasty is one of the most frequently performed cosmetic procedures, and its combination with liposuction has become more common. Seroma is one of the most common complications in abdominoplasty. the aim of this study was to compare the rate of seroma formation in patients who underwent either abdominoplasty with or without the use of quilting sutures or lipoabdominoplasty.Methods: Fifty-eight female patients were divided into three groups and underwent one of the following procedures: group A (n = 21), abdominoplasty without quilting sutures; group B (n = 17), abdominoplasty with quilting sutures; and group C (n = 20), lipoabdominoplasty. To investigate seroma formation, abdominal ultrasound was performed in five regions of the abdominal wall (epigastrium, umbilical, hypogastrium, right iliac fossa, and left iliac fossa) at two postoperative periods (P1, between postoperative days 11 and 14; and P2, between postoperative days 18 and 21).Results: the rate of seroma formation at both P1 and P2 was significantly higher in group A. It was observed that in group A at P1, the regions of right iliac fossa and left iliac fossa developed larger fluid collections. in group B, there were no significant differences with respect to fluid collections among the five study regions at both P1 and P2. in group C, there were significantly larger fluid collections in the hypogastrium region at P1 and in the umbilical and hypogastrium regions at P2.Conclusion: Abdominoplasty with quilting sutures and lipoabdominoplasty are effective techniques for the prevention of seromas compared with abdominoplasty without quilting sutures. (Plast. Reconstr. Surg. 126: 1742, 2010.)Universidade Federal de São Paulo, Div Plast Surg, Dept Surg, BR-04024002 São Paulo, BrazilUniversidade Federal de São Paulo, Dept Diagnost Imaging, BR-04024002 São Paulo, BrazilUniv Santo Amaro, Dept Stat, São Paulo, BrazilUniversidade Federal de São Paulo, Div Plast Surg, Dept Surg, BR-04024002 São Paulo, BrazilUniversidade Federal de São Paulo, Dept Diagnost Imaging, BR-04024002 São Paulo, BrazilWeb of Scienc