A review of abdominoplasty technique with reduced dissection and fixation with Baroudi sutures

INTRODUCTION: A retrospective study was carried out on 500 abdominoplasties with lower pubic transverse incision combined with liposuction, performed from 2007 to 2014. In all cases, the dissection of the abdominal skin flap was restricted, with adhesion sutures applied throughout the dissected regi...

Full description

Bibliographic Details
Main Authors: Julio Alberto Soncini, Ricardo Baroudi
Format: Article
Language:English
Published: Sociedade Brasileira de Cirurgia Plástica 2016-06-01
Series:Revista Brasileira de Cirurgia Plástica
Subjects:
Online Access:http://www.rbcp.org.br/export-pdf/1730/en_v31n2a05.pdf
_version_ 1797419409339318272
author Julio Alberto Soncini
Ricardo Baroudi
author_facet Julio Alberto Soncini
Ricardo Baroudi
author_sort Julio Alberto Soncini
collection DOAJ
description INTRODUCTION: A retrospective study was carried out on 500 abdominoplasties with lower pubic transverse incision combined with liposuction, performed from 2007 to 2014. In all cases, the dissection of the abdominal skin flap was restricted, with adhesion sutures applied throughout the dissected regions. The use of vacuum suction drains was also evaluated. In 33% of cases, these drains were not used, but no signs of seroma were detected, proving the efficacy of adhesion sutures. METHODS: In all abdominoplasties, the access route was the lower transverse pubic region extended up to the level of the anterior superior iliac spines bilaterally, combined with liposuction in the adjacent regions. After the dissection, plication of the rectus muscles, and resection of excess skin, adhesion sutures were applied throughout the dissected regions. RESULTS: The systematic use of adhesion sutures was efficient, without the need to use drains, given the absence of seroma in all cases. CONCLUSION: In lower pubic transverse abdominoplasty, limited dissection of the cutaneous flap extended up to the xiphoid, combined with adhesion sutures and liposuction, avoided the use of vacuum drains; no seroma developed, and the results were good.
first_indexed 2024-03-09T06:46:57Z
format Article
id doaj.art-12323f79615940d795114b51ece07bdd
institution Directory Open Access Journal
issn 1983-5175
2177-1235
language English
last_indexed 2024-03-09T06:46:57Z
publishDate 2016-06-01
publisher Sociedade Brasileira de Cirurgia Plástica
record_format Article
series Revista Brasileira de Cirurgia Plástica
spelling doaj.art-12323f79615940d795114b51ece07bdd2023-12-03T10:33:43ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352016-06-01310216617110.5935/2177-1235.2016RBCP0027A review of abdominoplasty technique with reduced dissection and fixation with Baroudi suturesJulio Alberto Soncini0Ricardo Baroudi1Sociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilINTRODUCTION: A retrospective study was carried out on 500 abdominoplasties with lower pubic transverse incision combined with liposuction, performed from 2007 to 2014. In all cases, the dissection of the abdominal skin flap was restricted, with adhesion sutures applied throughout the dissected regions. The use of vacuum suction drains was also evaluated. In 33% of cases, these drains were not used, but no signs of seroma were detected, proving the efficacy of adhesion sutures. METHODS: In all abdominoplasties, the access route was the lower transverse pubic region extended up to the level of the anterior superior iliac spines bilaterally, combined with liposuction in the adjacent regions. After the dissection, plication of the rectus muscles, and resection of excess skin, adhesion sutures were applied throughout the dissected regions. RESULTS: The systematic use of adhesion sutures was efficient, without the need to use drains, given the absence of seroma in all cases. CONCLUSION: In lower pubic transverse abdominoplasty, limited dissection of the cutaneous flap extended up to the xiphoid, combined with adhesion sutures and liposuction, avoided the use of vacuum drains; no seroma developed, and the results were good.http://www.rbcp.org.br/export-pdf/1730/en_v31n2a05.pdfabdominoplastyliposuctiontissue adherencesuction drainageseromasurgical flaps
spellingShingle Julio Alberto Soncini
Ricardo Baroudi
A review of abdominoplasty technique with reduced dissection and fixation with Baroudi sutures
Revista Brasileira de Cirurgia Plástica
abdominoplasty
liposuction
tissue adherence
suction drainage
seroma
surgical flaps
title A review of abdominoplasty technique with reduced dissection and fixation with Baroudi sutures
title_full A review of abdominoplasty technique with reduced dissection and fixation with Baroudi sutures
title_fullStr A review of abdominoplasty technique with reduced dissection and fixation with Baroudi sutures
title_full_unstemmed A review of abdominoplasty technique with reduced dissection and fixation with Baroudi sutures
title_short A review of abdominoplasty technique with reduced dissection and fixation with Baroudi sutures
title_sort review of abdominoplasty technique with reduced dissection and fixation with baroudi sutures
topic abdominoplasty
liposuction
tissue adherence
suction drainage
seroma
surgical flaps
url http://www.rbcp.org.br/export-pdf/1730/en_v31n2a05.pdf
work_keys_str_mv AT julioalbertosoncini areviewofabdominoplastytechniquewithreduceddissectionandfixationwithbaroudisutures
AT ricardobaroudi areviewofabdominoplastytechniquewithreduceddissectionandfixationwithbaroudisutures
AT julioalbertosoncini reviewofabdominoplastytechniquewithreduceddissectionandfixationwithbaroudisutures
AT ricardobaroudi reviewofabdominoplastytechniquewithreduceddissectionandfixationwithbaroudisutures