Challenging the Subcostal Incision Scar with the Two-staged Abdominoplasty: An Innovative Approach.

Autor:	Mahabbat NA; Plastic and Reconstructive Surgery Section, Department of Surgery, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia., Shah Mardan QNM; ABAS Medical Centre, Riyadh, Saudi Arabia., Mohamed AO; College of Medicine, Sulaiman Alrajhi University, Al-Qassim, Saudi Arabia., Almarshad FA; Plastic and Reconstructive Surgery Section, Department of Surgery, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia., Mrad MA; Plastic and Reconstructive Surgery Section, Department of Surgery, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia., Al-Qattan MM; Plastic and Reconstructive Surgery Division, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia., Hashem FK; Plastic and Reconstructive Surgery Section, Department of Surgery, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2022 Jan 28; Vol. 10 (1), pp. e4047. Date of Electronic Publication: 2022 Jan 28 (Print Publication: 2022).
DOI:	10.1097/GOX.0000000000004047
Abstrakt:	Abdominoplasty is a commonly sought-after procedure due to its life-transforming results, but is limited, as in any other operation, by a number of contraindications. One of these contraindications is a subcostal scar, which may jeopardize blood supply to the upper flap of the abdominoplasty, resulting in skin necrosis. Herein, we challenge this dogma by introducing the two-staged abdominoplasty with the utilization of a delayed flap in a 48-year-old multiparous woman presenting with a Kocher incision of open cholecystectomy, with good results and a complication-free course of 3 postoperative months. We recommend this approach in patients with subcostal scars. However, more research into the utilization of delayed flaps in abdominoplasty should be done to have a more well-founded conclusion. (Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.)
Databáze:	MEDLINE
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