Rectus Muscle Plication in Mini-abdominoplasty with Umbilicus Preservation.

Autor: El Israwi D; From the University of Balamand, Beirut, Lebanon., Watfa W; Department of Plastic and Reconstructive Surgery, Saint George Hospital University Medical Center, Beirut, Lebanon.
Jazyk: angličtina
Zdroj: Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2023 May 17; Vol. 11 (5), pp. e4998. Date of Electronic Publication: 2023 May 17 (Print Publication: 2023).
DOI: 10.1097/GOX.0000000000004998
Abstrakt: Diastasis recti is a frequent problem that women, particularly, experience after pregnancy. It is an abdominal wall defect in which there is more than 2 cm separation between the abdominal rectus muscles. Aside from being repaired most commonly with a full abdominoplasty, in some cases, diastasis might present with minimal excessive adipocutaneous tissue, thus requiring a mini-abdominoplasty. Because umbilical transposition is not needed in that latter scenario, diastasis repair is only possible by ligating and cutting the existing umbilical stalk to be able to have a direct clear access to the supraumbilical linea alba. However, detaching the umbilical stalk will most certainly lead to the displacement of the umbilicus inferiorly. To overcome this problem, we performed a modified mini-abdominoplasty technique, which repairs the recti diastasis, keeps the umbilical stalk in place, and leaves behind a mini-abdominoplasty scar, thus providing a more cosmetically appealing result in addition to a radical solution to the defect. Moreover, this technique can be performed by any qualified plastic surgeon under basic operating settings.
Competing Interests: The authors have no financial interest to declare in relation to the content of this article.
(Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.)
Databáze: MEDLINE