Evaluation of pressure parameters intra-abdominal and thoracic in patients submitted to abdominoplasty
INTRODUCTION: The abdomen is an important aesthetic and functional segment in the characterization of body contouring. The plication of the rectus abdominis may cause various problems to the patient such as increased intra-abdominal and thoracic pressure. Thus, this study aims to evaluate abdominal...
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Thieme Revinter Publicações Ltda.
2017-06-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/1841/en_v32n2a12.pdf |
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| author | Jefferson di Lamartine Galdino Amaral Daniel Augusto dos Santos Soares Juldasio Galdino de Oliveira Junior Leonardo Martins Costa Daher Luciano Gomes Moura Fernando Cassio de Andrade Edinei Fabiano Rebonatto José Carlos Daher |
| author_facet | Jefferson di Lamartine Galdino Amaral Daniel Augusto dos Santos Soares Juldasio Galdino de Oliveira Junior Leonardo Martins Costa Daher Luciano Gomes Moura Fernando Cassio de Andrade Edinei Fabiano Rebonatto José Carlos Daher |
| author_sort | Jefferson di Lamartine Galdino Amaral |
| collection | DOAJ |
| description | INTRODUCTION: The abdomen is an important aesthetic and functional segment in the characterization of body contouring. The plication of the rectus abdominis may cause various problems to the patient such as increased intra-abdominal and thoracic pressure. Thus, this study aims to evaluate abdominal pressure and pulmonary parameters in patients undergoing abdominoplasty with liposuction.
METHODS: This is a descriptive longitudinal prospective study. All patients underwent the lipoabdominoplasty with liposuction of flanks by the same senior plastic surgeon. The intra-abdominal pressure was measured by a device attached to indwelling urinary catheter of the patient and intra-thoracic pressure was measured by the ventilation device monitor. Measurements were made before and after plication and in Fowler's position.
RESULTS: Mean surgery time was 4 hours and 08 minutes. Intra-abdominal pressure before and after plication of the rectus abdominis ranged from 2 to 11 cm H2O and 5-16 cm H2O, respectively. Intra-thoracic pressure before and after plication of the rectus abdominis ranged from 13 to 17 cm H2O and 14-18 cm H2O respectively. The intra-abdominal pressure in Fowler's position ranged from 6 to 23 cm H2O. The intra-thoracic pressure in Fowler's position ranged from 15 to 19 cm H2O. One case of small dehiscence, one case of seroma and one case of respiratory distress were observed.
CONCLUSION: The results demonstrate that plication of the rectus abdominis increases intra-abdominal and pulmonary pressure without generating significant systemic changes. |
| format | Article |
| id | doaj-art-ff5937d67f1646158eeb3e1b1c0a18c8 |
| institution | Kabale University |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2017-06-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-ff5937d67f1646158eeb3e1b1c0a18c82025-08-20T03:42:10ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352017-06-01320223123610.5935/2177-1235.2017RBCP0036Evaluation of pressure parameters intra-abdominal and thoracic in patients submitted to abdominoplastyJefferson di Lamartine Galdino Amaral0Daniel Augusto dos Santos Soares1Juldasio Galdino de Oliveira Junior2Leonardo Martins Costa Daher3Luciano Gomes Moura4Fernando Cassio de Andrade5Edinei Fabiano Rebonatto6José Carlos Daher7Sociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilHospital Daher Lago Sul, Brasília, DF, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilHospital Daher Lago Sul, Brasília, DF, BrazilHospital Daher Lago Sul, Brasília, DF, BrazilSociedade Brasileira de Anestesiologia, Rio de Janeiro, RJ, BrazilSociedade Brasileira de Anestesiologia, Rio de Janeiro, RJ, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilINTRODUCTION: The abdomen is an important aesthetic and functional segment in the characterization of body contouring. The plication of the rectus abdominis may cause various problems to the patient such as increased intra-abdominal and thoracic pressure. Thus, this study aims to evaluate abdominal pressure and pulmonary parameters in patients undergoing abdominoplasty with liposuction. METHODS: This is a descriptive longitudinal prospective study. All patients underwent the lipoabdominoplasty with liposuction of flanks by the same senior plastic surgeon. The intra-abdominal pressure was measured by a device attached to indwelling urinary catheter of the patient and intra-thoracic pressure was measured by the ventilation device monitor. Measurements were made before and after plication and in Fowler's position. RESULTS: Mean surgery time was 4 hours and 08 minutes. Intra-abdominal pressure before and after plication of the rectus abdominis ranged from 2 to 11 cm H2O and 5-16 cm H2O, respectively. Intra-thoracic pressure before and after plication of the rectus abdominis ranged from 13 to 17 cm H2O and 14-18 cm H2O respectively. The intra-abdominal pressure in Fowler's position ranged from 6 to 23 cm H2O. The intra-thoracic pressure in Fowler's position ranged from 15 to 19 cm H2O. One case of small dehiscence, one case of seroma and one case of respiratory distress were observed. CONCLUSION: The results demonstrate that plication of the rectus abdominis increases intra-abdominal and pulmonary pressure without generating significant systemic changes.http://www.rbcp.org.br/export-pdf/1841/en_v32n2a12.pdfabdominoplastypressurerectus abdominis |
| spellingShingle | Jefferson di Lamartine Galdino Amaral Daniel Augusto dos Santos Soares Juldasio Galdino de Oliveira Junior Leonardo Martins Costa Daher Luciano Gomes Moura Fernando Cassio de Andrade Edinei Fabiano Rebonatto José Carlos Daher Evaluation of pressure parameters intra-abdominal and thoracic in patients submitted to abdominoplasty Revista Brasileira de Cirurgia Plástica abdominoplasty pressure rectus abdominis |
| title | Evaluation of pressure parameters intra-abdominal
and thoracic in patients submitted
to abdominoplasty |
| title_full | Evaluation of pressure parameters intra-abdominal
and thoracic in patients submitted
to abdominoplasty |
| title_fullStr | Evaluation of pressure parameters intra-abdominal
and thoracic in patients submitted
to abdominoplasty |
| title_full_unstemmed | Evaluation of pressure parameters intra-abdominal
and thoracic in patients submitted
to abdominoplasty |
| title_short | Evaluation of pressure parameters intra-abdominal
and thoracic in patients submitted
to abdominoplasty |
| title_sort | evaluation of pressure parameters intra abdominal and thoracic in patients submitted to abdominoplasty |
| topic | abdominoplasty pressure rectus abdominis |
| url | http://www.rbcp.org.br/export-pdf/1841/en_v32n2a12.pdf |
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