Rectus Muscle Plication in Mini-abdominoplasty with Umbilicus Preservation
Autor: | Daniel El Israwi, MS, William Watfa, MD |
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Jazyk: | angličtina |
Rok vydání: | 2023 |
Předmět: | |
Zdroj: | Plastic and Reconstructive Surgery, Global Open, Vol 11, Iss 5, p e4998 (2023) |
Druh dokumentu: | article |
ISSN: | 2169-7574 00000000 |
DOI: | 10.1097/GOX.0000000000004998 |
Popis: | Summary:. 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. |
Databáze: | Directory of Open Access Journals |
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