Document Detail

Abdominoplasty flap elevation in a more superficial plane: decreasing the need for drains.
MedLine Citation:
PMID:  20124852     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Abdominoplasty has continued to become more frequently performed in the post-bariatric surgery and aesthetic patient populations. With the increase in these procedures, there is a need to decrease the length of drains for patient comfort and postoperative recovery. The authors' hypothesis was that a more superficial plane of abdominal flap elevation during abdominoplasty would decrease the postoperative need for drains.
METHODS: The authors reviewed 202 consecutive abdominoplasties with 99 procedures performed using a standard suprafascial dissection (group I) and 103 procedures using a modified plane of flap elevation that preserves the thin areolar tissue along the abdominal wall (group II). Patient demographics, perioperative complications, and drain data were recorded.
RESULTS: Patient characteristics did not differ significantly, with the mean age of group I and group II (44 +/- 8.9 years and 44 +/- 9.6 years, respectively) and body mass index of group I and group II (24 +/- 3.8 and 24 +/- 3.8, respectively) being similar. Perioperative complications included seven seromas in group I and two seromas in group II. There were two minor hematomas in group I and two minor hematomas in group II. The drains for patients in group II met criteria for removal 3 days earlier than those for group I (p < 0.0001). On average, patients in group II had drains removed at postoperative days 4 to 5.
CONCLUSIONS: Flap elevation in a plane superficial to the standard suprafascial approach during abdominoplasty may decrease the length of time required for drains in the postoperative period in the abdominoplasty patient. Decreasing the length of time for postoperative drains may improve patient comfort and expedite recovery.
Robert C Fang; Samuel J Lin; Thomas A Mustoe
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  125     ISSN:  1529-4242     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-03     Completed Date:  2010-03-01     Revised Date:  2014-10-13    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  677-82     Citation Subset:  AIM; IM    
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MeSH Terms
Abdominal Wall / physiology,  surgery*
Bariatric Surgery
Drainage / methods*
Fascia / surgery
Lymphatic System / physiology
Middle Aged
Postoperative Care / methods
Postoperative Complications / prevention & control*,  therapy
Seroma / prevention & control*,  therapy
Surgery, Plastic / methods*
Surgical Flaps*
Comment In:
Plast Reconstr Surg. 2010 Oct;126(4):1411-3; author reply 1413-4   [PMID:  20885273 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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