Document Detail


Intraabdominal pressure after full abdominoplasty in obese multiparous patients.
MedLine Citation:
PMID:  15253209     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study measured intraabdominal pressure in morbidly obese and multiparous patients who underwent abdominoplasty with musculoaponeurotic plication. The purpose of this study was to evaluate any potential adverse effect on pulmonary function by virtue of pulmonary function tests and measurement of peak airway pressure. The study included 43 multiparous, morbidly obese women (mean body mass index, 35.8 kg/m2) with a mean age (+/- SD) of 38.6 +/- 7 years. All had full abdominoplasty and repair of the musculoaponeurotic system during the period from June of 1999 to May of 2002. Forty-three morbidly obese multiparous patients were seen over a period of 24 months. Their intraabdominal pressure was estimated by measuring the intravesical pressure before and after repair of severe diastases (divarication) of the rectus abdominis muscles with severely flaccid myofascial component before using a hydrometer connected to a Foley catheter both before and after repair. All patients had pulmonary function checked before and 2 months after the repair. The study confirmed that there are minimal changes on the intraabdominal pressure parameters compared with measurement before and after full abdominoplasty with plication of the rectus muscles, with minimal to negligible changes in the intrathoracic pressure. These changes are clinically and statistically significant (p < 0.0001). The study also recommended the safety of full abdominoplasty and repair of the musculoaponeurotic system in multiparous and morbidly obese patients. Furthermore, no statistically significant difference was found in pulmonary function parameters before and after surgery in patients with a history of bronchial asthma.
Authors:
Habib B Al-Basti; Hamdy A El-Khatib; Ahmed Taha; Hisham Abdul Sattar; Abdulbari Bener
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  113     ISSN:  0032-1052     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-07-15     Completed Date:  2004-07-29     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:  2145-50; discussion 2151-5     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Abdominal Cavity / physiology*
Abdominal Wall / surgery*
Adult
Female
Humans
Lipectomy*
Middle Aged
Obesity, Morbid / physiopathology,  surgery*
Parity*
Postoperative Complications
Pressure
Respiratory Mechanics
Thoracic Cavity / physiology
Urinary Bladder / physiopathology

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


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