Anchor lipoabdominoplasty
Morbid obesity is characterized by the accumulation of adipose tissues distributed heterogeneously throughout the body, and gastroplasty is the latest method of surgical treatment. After considerable weight loss, patients present with excess skin under which secretions accumulate, increasing suscept...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2019-12-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/2680/en_v34n4a13.pdf |
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| author | Francisco Mendonça de Albuquerque Patrícia Pimentel Pizarro Osvaldo Ribeiro Saldanha Sérgio Mitiake Shimizu Irineu Rasera |
| author_facet | Francisco Mendonça de Albuquerque Patrícia Pimentel Pizarro Osvaldo Ribeiro Saldanha Sérgio Mitiake Shimizu Irineu Rasera |
| author_sort | Francisco Mendonça de Albuquerque |
| collection | DOAJ |
| description | Morbid obesity is characterized by the accumulation of adipose tissues distributed heterogeneously throughout the body, and gastroplasty is the latest method of surgical treatment. After considerable weight loss, patients present with excess skin under which secretions accumulate, increasing susceptibility for skin infections, which can be minimized with dermolipectomy. Herein, we describe the anchor lipoabdominoplasty technique, adapting the principles of reduced flap detachment, abdominal and flank liposuctions, and preservation of the infraumbilical Scarpa's fascia associated with the preoperative fleurde- lis marking. The technique was used for seventeen patients, including sixteen women and one man, with late postoperative gastroplasty, aged 35-66 years in the period from January 2018 to June 2019. The patients presented with normal preoperative testing, satisfactory clinical conditions, and body mass index scores less than 30 kg/m2. In the present case series, one patient had umbilical cord remnant epidermolysis; all patients had edema and ecchymosis; and one patient had seroma on postoperative day 13. Hematoma, necrosis, infection, wound dehiscence, or thromboembolic events were not observed in any patient. The technique is safe and effective in the treatment of patients with abdominal excess skin, improving their body contour. However, longer postoperative follow-up periods and more cases are necessary to better measure the results and incidence of complications. |
| format | Article |
| id | doaj-art-ea43010dd4d0431a962f9255d83e282e |
| institution | DOAJ |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2019-12-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-ea43010dd4d0431a962f9255d83e282e2025-08-20T02:50:59ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352019-12-01340452453010.5935/2177-1235.2019RBCP0233Anchor lipoabdominoplastyFrancisco Mendonça de Albuquerque0Patrícia Pimentel Pizarro1Osvaldo Ribeiro Saldanha2Sérgio Mitiake Shimizu3Irineu Rasera4Hospital dos Fornecedores de Cana de Piracicaba, Piracicaba, SP, BrazilHospital dos Fornecedores de Cana de Piracicaba, Piracicaba, SP, BrazilHospital São Lucas, Santos, SP, BrazilHospital Unimed de Rio Claro, Rio Claro, SP, BrazilHospital dos Fornecedores de Cana de Piracicaba, Piracicaba, SP, BrazilMorbid obesity is characterized by the accumulation of adipose tissues distributed heterogeneously throughout the body, and gastroplasty is the latest method of surgical treatment. After considerable weight loss, patients present with excess skin under which secretions accumulate, increasing susceptibility for skin infections, which can be minimized with dermolipectomy. Herein, we describe the anchor lipoabdominoplasty technique, adapting the principles of reduced flap detachment, abdominal and flank liposuctions, and preservation of the infraumbilical Scarpa's fascia associated with the preoperative fleurde- lis marking. The technique was used for seventeen patients, including sixteen women and one man, with late postoperative gastroplasty, aged 35-66 years in the period from January 2018 to June 2019. The patients presented with normal preoperative testing, satisfactory clinical conditions, and body mass index scores less than 30 kg/m2. In the present case series, one patient had umbilical cord remnant epidermolysis; all patients had edema and ecchymosis; and one patient had seroma on postoperative day 13. Hematoma, necrosis, infection, wound dehiscence, or thromboembolic events were not observed in any patient. The technique is safe and effective in the treatment of patients with abdominal excess skin, improving their body contour. However, longer postoperative follow-up periods and more cases are necessary to better measure the results and incidence of complications.http://www.rbcp.org.br/export-pdf/2680/en_v34n4a13.pdflipoabdominoplastylipectomygastroplastymorbid obesityabdominoplasty |
| spellingShingle | Francisco Mendonça de Albuquerque Patrícia Pimentel Pizarro Osvaldo Ribeiro Saldanha Sérgio Mitiake Shimizu Irineu Rasera Anchor lipoabdominoplasty Revista Brasileira de Cirurgia Plástica lipoabdominoplasty lipectomy gastroplasty morbid obesity abdominoplasty |
| title | Anchor lipoabdominoplasty |
| title_full | Anchor lipoabdominoplasty |
| title_fullStr | Anchor lipoabdominoplasty |
| title_full_unstemmed | Anchor lipoabdominoplasty |
| title_short | Anchor lipoabdominoplasty |
| title_sort | anchor lipoabdominoplasty |
| topic | lipoabdominoplasty lipectomy gastroplasty morbid obesity abdominoplasty |
| url | http://www.rbcp.org.br/export-pdf/2680/en_v34n4a13.pdf |
| work_keys_str_mv | AT franciscomendoncadealbuquerque anchorlipoabdominoplasty AT patriciapimentelpizarro anchorlipoabdominoplasty AT osvaldoribeirosaldanha anchorlipoabdominoplasty AT sergiomitiakeshimizu anchorlipoabdominoplasty AT irineurasera anchorlipoabdominoplasty |