Prevention and treatment of ecchymosis, edema, and fibrosis in the pre-, trans-, and postoperative periods of plastic surgery
Introduction: Fibrosis, intense edema, and ecchymosis are complications that represent a great challenge to dermatofunctional physiotherapists in the postoperative period of liposuction and abdominoplasty. Here we aimed to propose a new approach in the pre-, trans-, and postoperative periods to prev...
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Thieme Revinter Publicações Ltda.
2018-09-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/2165/en_v33n3a11.pdf |
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| author | Anny Chi Angela Lange Marcus Vinicius Thomé Nóra Guimarães Celso Bilynkievycz dos Santos |
| author_facet | Anny Chi Angela Lange Marcus Vinicius Thomé Nóra Guimarães Celso Bilynkievycz dos Santos |
| author_sort | Anny Chi |
| collection | DOAJ |
| description | Introduction: Fibrosis, intense edema, and ecchymosis are complications that represent a great challenge to dermatofunctional physiotherapists in the postoperative period of liposuction and abdominoplasty. Here we aimed to propose a new approach in the pre-, trans-, and postoperative periods to prevent and minimize fibrosis, intense edema, and ecchymosis, thereby expediting the patient's recovery and reducing the number of required physiotherapy sessions.
Method: This controlled clinical trial included 20 female patients aged 18-56 years who were divided into the control group (CG; n = 10) and experimental group (EG; n = 10). All were scheduled to undergo abdominoplasty or abdominal liposuction at least 7 days after enrollment. The two groups were evaluated preoperatively. The CG received care only from the 4th postoperative day, while the EG received care during the pre-, trans-, and postoperative periods.
Results: The EG required fewer mean physiotherapy sessions (p = 0.0032) and had lower perimetry values on the 4th postoperative day (p ≤ 0.05) in the inframammary groove and iliac crest, lower mean resolution of fibrosis (p = 0.0058), and lower mean resolution of ecchymosis (p = 0.0002) compared to the CG.
Conclusion: The findings of this unprecedented study indicate that treatment in the pre-, trans-, and postoperative periods reduces edema, ecchymosis, and fibrosis formation in the postoperative period. It also decreases the number of required physiotherapy sessions and accelerates patient recovery from abdominal plastic surgery. |
| format | Article |
| id | doaj-art-1ae30075bd47486d90d7f7f7e4d7d6d4 |
| institution | DOAJ |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2018-09-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-1ae30075bd47486d90d7f7f7e4d7d6d42025-08-20T03:15:54ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352018-09-01330334335410.5935/2177-1235.2018RBCP0147Prevention and treatment of ecchymosis, edema, and fibrosis in the pre-, trans-, and postoperative periods of plastic surgeryAnny Chi0Angela Lange1Marcus Vinicius Thomé Nóra Guimarães2Celso Bilynkievycz dos Santos3Instituto Universitário Italiano de Rosário, Santa Fe, ArgentinaPontifícia Universidade Católica do Paraná, Curitiba, PR, BrazilInstituto Universitário Italiano de Rosário, Santa Fe, ArgentinaUniversidade Estadual de Ponta Grossa, Ponta Grossa, PR, BrazilIntroduction: Fibrosis, intense edema, and ecchymosis are complications that represent a great challenge to dermatofunctional physiotherapists in the postoperative period of liposuction and abdominoplasty. Here we aimed to propose a new approach in the pre-, trans-, and postoperative periods to prevent and minimize fibrosis, intense edema, and ecchymosis, thereby expediting the patient's recovery and reducing the number of required physiotherapy sessions. Method: This controlled clinical trial included 20 female patients aged 18-56 years who were divided into the control group (CG; n = 10) and experimental group (EG; n = 10). All were scheduled to undergo abdominoplasty or abdominal liposuction at least 7 days after enrollment. The two groups were evaluated preoperatively. The CG received care only from the 4th postoperative day, while the EG received care during the pre-, trans-, and postoperative periods. Results: The EG required fewer mean physiotherapy sessions (p = 0.0032) and had lower perimetry values on the 4th postoperative day (p ≤ 0.05) in the inframammary groove and iliac crest, lower mean resolution of fibrosis (p = 0.0058), and lower mean resolution of ecchymosis (p = 0.0002) compared to the CG. Conclusion: The findings of this unprecedented study indicate that treatment in the pre-, trans-, and postoperative periods reduces edema, ecchymosis, and fibrosis formation in the postoperative period. It also decreases the number of required physiotherapy sessions and accelerates patient recovery from abdominal plastic surgery.http://www.rbcp.org.br/export-pdf/2165/en_v33n3a11.pdfpostoperative complicationslipectomyphysical therapy modalitiesfibrosisecchymosisedema |
| spellingShingle | Anny Chi Angela Lange Marcus Vinicius Thomé Nóra Guimarães Celso Bilynkievycz dos Santos Prevention and treatment of ecchymosis, edema, and fibrosis in the pre-, trans-, and postoperative periods of plastic surgery Revista Brasileira de Cirurgia Plástica postoperative complications lipectomy physical therapy modalities fibrosis ecchymosis edema |
| title | Prevention and treatment of ecchymosis, edema,
and fibrosis in the pre-, trans-, and postoperative
periods of plastic surgery |
| title_full | Prevention and treatment of ecchymosis, edema,
and fibrosis in the pre-, trans-, and postoperative
periods of plastic surgery |
| title_fullStr | Prevention and treatment of ecchymosis, edema,
and fibrosis in the pre-, trans-, and postoperative
periods of plastic surgery |
| title_full_unstemmed | Prevention and treatment of ecchymosis, edema,
and fibrosis in the pre-, trans-, and postoperative
periods of plastic surgery |
| title_short | Prevention and treatment of ecchymosis, edema,
and fibrosis in the pre-, trans-, and postoperative
periods of plastic surgery |
| title_sort | prevention and treatment of ecchymosis edema and fibrosis in the pre trans and postoperative periods of plastic surgery |
| topic | postoperative complications lipectomy physical therapy modalities fibrosis ecchymosis edema |
| url | http://www.rbcp.org.br/export-pdf/2165/en_v33n3a11.pdf |
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