Abdominoplasty with Scarpa fascia preservation - comparative study in a bariatric population

• Tipo: Artigo em Revista Científica Internacional
• Data: 2017

Autores

Correia Goncalves, I (Autor) Outra; Valenca Filipe, R (Autor) Outra; Carvalho, J (Autor) Outra; Rebelo, M (Autor) Outra; Peres, H (Autor) FCUP; Amarante J (Autor) FMUP; Costa-Ferreira A (Autor) FMUP

Revista

Título: Surgery for Obesity and Related Diseases

Vol. 13

Páginas: 423-428

ISSN: 1550-7289

Editora: Elsevier

Indexação

ISI Web of Knowledge - 18 Citações

Scopus - 20 Citações

Outras Informações

ID Authenticus: P-00M-MN0

DOI: 10.1016/j.soard.2016.09.024

Abstract (EN): Background: Abdominoplasty techniques using a more superficial plane of dissection with Scarpa fascia preservation have been shown to improve recovery and reduce complications in nonbariatric patients. Patients who have experienced massive weight loss frequently need body contour procedures and represent a high-risk group. Objective: To evaluate the effect of this technique in patients with massive weight loss after bariatric surgery. Setting: University hospital, Portugal. Methods: This was a single-center retrospective study of 51 postbariatric patients who had been undergone either a classic full abdominoplasty (group A) or a similar procedure except for the preservation of Scarpa fascia below the umbilicus (group B). General characteristics of both groups were analyzed, and recorded outcomes were total and daily volume of drain output, time until drain removal, time until hospital discharge, and local and systemic complications. Results: There were no statistically significant differences between groups regarding general characteristics or complications. The Scarpa fascia preservation group had a highly significant reduction of 79% on the total drain output, 7 days until drain removal, and 5 days' hospital stay. Long drainers (7 days or more with drains) were eliminated (reduction from 52% in group A to 3% in group B) and seroma had a 65% reduction. Conclusion: Preserving Scarpa fascia during a full abdominoplasty in postbariatric patients improves recovery by reducing total drain output and hospital stay, allowing earlier drain removal, eliminating long periods with suction drains, and reducing seroma incidence. Clear benefits for the patient were obtained.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 6