Minimally invasive lipoabdominoplasty (MILA) tactic

Autor: CHRISTIANO MARLO PAGGI CLAUS, GUILLERMO ALFREDFO DI-BIASIO, RAIDEL DEUCHER RIBEIRO, MARCO AURELIO MOURA FARIA CORREA, BRUNO PAGNONCELLI, EZEQUIEL PALMISANO
Jazyk: English<br />Spanish; Castilian<br />Portuguese
Rok vydání: 2024
Předmět:
Zdroj: Revista do Colégio Brasileiro de Cirurgiões, Vol 51 (2024)
Druh dokumentu: article
ISSN: 1809-4546
0100-6991
DOI: 10.1590/0100-6991e-20243692-en
Popis: ABSTRACT While diastasis recti (DR) was long neglected by general surgeons, plastic surgeons considered conventional abdominoplasty as the only repair option. However, this scenario has changed recently, either due to a better understanding of the correlation between DR and abdominal wall function and greater risk of recurrence in abdominal hernia repairs, or due to the development of new minimally invasive techniques for repairing DR. One of these surgical procedures consists of the concept of an abdominoplasty, that is, supra-aponeurotic dissection and plication of the DR (with or without abdominal hernia) but performed through three small supra-pubic incisions by laparoscopy or robotic approach. More recently, this procedure has gained new stages. Liposuction and skin retraction technology have been associated with MIS plication of DR, which increases the indications for the technique and potentially improves results. For the first time in the literature, we describe these steps and the synergy between them.
Databáze: Directory of Open Access Journals
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