Modified Fleur-de-lis Abdominoplasty for Massive Weight Loss Patients
| Autor: | Selina N. Ziegler, Ulrich E. Ziegler, Philip H. Zeplin |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment 030230 surgery Surgical Flaps 03 medical and health sciences 0302 clinical medicine Postoperative Complications Weight loss Weight Loss medicine Humans Major complication Retrospective Studies Delayed wound healing Abdominoplasty Wound dehiscence business.industry medicine.disease film.actor Surgery Microvascular perfusion Treatment Outcome Fleur-de-lis film 030220 oncology & carcinogenesis Seroma Female medicine.symptom business |
| Zdroj: | Annals of plastic surgery. 79(2) |
| ISSN: | 1536-3708 |
| Popis: | INTRODUCTION Fleur-de-lis abdominoplasty is an effective procedure for correcting abdominal contour abnormalities in both the vertical and horizontal orientation. Tension on the approximated tissue edges and reduced microvascular perfusion is mainly responsible for wound dehiscence and delayed wound healing in the T-point area and seroma formation. To reduce these complications, we developed a modification of the fleur-de-lis abdominoplasty technique forming upper abdominal skin flaps with deepithelialized mediocaudal edges. MATERIALS AND METHODS A total of 76 consecutive patients underwent fleur-de-lis abdominoplasty over a 2-year period. Of these, 38 (50%) underwent standard fleur-de-lis abdominoplasty and 38 (50%) had modified fleur-de-lis abdominoplasty. RESULTS Full-thickness skin defects as major complications and nonoperative treated seroma formations were significantly reduced in modified fleur-de-lis abdominoplasty patients. CONCLUSIONS Modified fleur-de-lis abdominoplasty reduces the rate of full-thickness skin defects at T-junction and the development of seroma formation. |
| Databáze: | OpenAIRE |
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