Components separation technique with limited subcutaneous undermining: a cadaver study
Autor: | Lydia Masako Ferreira, Fabio Xerfan Nahas, Alexandro Kenji Kimura, Yara Juliano, Marcus Vinícius Jardini Barbosa |
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Rok vydání: | 2011 |
Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Axillary lines Abdominal wall Subcutaneous Tissue Cadaver Traction Medicine Humans External Oblique Muscle Abdominal Muscles Aged Aged 80 and over business.industry Dissection Significant difference Abdominal Wall Abdominal Wound Closure Techniques Traction (orthopedics) Middle Aged Plastic Surgery Procedures Surgery medicine.anatomical_structure Female business Subcutaneous tissue |
Zdroj: | Annals of plastic surgery. 67(3) |
ISSN: | 1536-3708 |
Popis: | 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. |
Databáze: | OpenAIRE |
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