Evaluation of Tension Reduction on Abdominoplasty Scar Using Baroudi Adhesion Sutures

Introduction: In 1988, Baroudi et al. published a paper describing the use of adhesion points between the dermoadipose flap and the anterior rectus abdominis sheath to reduce seroma formation. This study aimed to demonstrate a probable correlation between the use of Baroudi adhesion points and reduc...

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Main Authors: Níveo Steffen, Thiago Melo de Souza, Caroline Battisti, Pedro Bins Ely
Format: Article
Language:English
Published: Sociedade Brasileira de Cirurgia Plástica 2019-09-01
Series:Revista Brasileira de Cirurgia Plástica
Subjects:
Online Access:http://www.rbcp.org.br/export-pdf/2644/en_v34n3a05.pdf
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author Níveo Steffen
Thiago Melo de Souza
Caroline Battisti
Pedro Bins Ely
author_facet Níveo Steffen
Thiago Melo de Souza
Caroline Battisti
Pedro Bins Ely
author_sort Níveo Steffen
collection DOAJ
description Introduction: In 1988, Baroudi et al. published a paper describing the use of adhesion points between the dermoadipose flap and the anterior rectus abdominis sheath to reduce seroma formation. This study aimed to demonstrate a probable correlation between the use of Baroudi adhesion points and reduction in flap tension force by measuring the distance from the lower abdominal scar to the xiphoid before and after using Baroudi points in dermolipectomy transoperatory. Methods: This was a prospective observational study that selected patients who underwent lipoabdominoplasty at the Santa Casa de Misericórdia Plastic Surgery Service of Porto Alegre from January to April 2019. The transoperatory measurements of distance from the sternal xiphoid appendix to the umbilical scar and from the pre-xiphoid to the postxiphoid scar before and after execution of Baroudi's adhesion points were compared. Statistical analysis was performed using Excel® software. Results: A reduction in the distances between the xiphoid-umbilical scar appendix and xiphoidscar appendix was verified after execution of Baroudi suture (mean 1.5 cm), indicating a decrease in scar tension. Conclusion: There was a decrease in the xiphoid-umbilical scar and xiphoid-lower abdominal scar distance after Baroudi stitches, indicating lower scar-tissue tension. Further studies should be conducted to evaluate these measurements in the long term and their correlation with a better-quality scar.
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spelling doaj.art-31614143eec247eea12a8433595c94f32023-12-03T11:22:28ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352019-09-01340333133510.5935/2177-1235.2019RBCP0204Evaluation of Tension Reduction on Abdominoplasty Scar Using Baroudi Adhesion SuturesNíveo Steffen0Thiago Melo de Souza1Caroline Battisti2Pedro Bins Ely3Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, RS, BrazilSanta Casa de Misericórdia de Porto Alegre, Porto Alegre, RS, BrazilSanta Casa de Misericórdia de Porto Alegre, Porto Alegre, RS, BrazilSanta Casa de Misericórdia de Porto Alegre, Porto Alegre, RS, BrazilIntroduction: In 1988, Baroudi et al. published a paper describing the use of adhesion points between the dermoadipose flap and the anterior rectus abdominis sheath to reduce seroma formation. This study aimed to demonstrate a probable correlation between the use of Baroudi adhesion points and reduction in flap tension force by measuring the distance from the lower abdominal scar to the xiphoid before and after using Baroudi points in dermolipectomy transoperatory. Methods: This was a prospective observational study that selected patients who underwent lipoabdominoplasty at the Santa Casa de Misericórdia Plastic Surgery Service of Porto Alegre from January to April 2019. The transoperatory measurements of distance from the sternal xiphoid appendix to the umbilical scar and from the pre-xiphoid to the postxiphoid scar before and after execution of Baroudi's adhesion points were compared. Statistical analysis was performed using Excel® software. Results: A reduction in the distances between the xiphoid-umbilical scar appendix and xiphoidscar appendix was verified after execution of Baroudi suture (mean 1.5 cm), indicating a decrease in scar tension. Conclusion: There was a decrease in the xiphoid-umbilical scar and xiphoid-lower abdominal scar distance after Baroudi stitches, indicating lower scar-tissue tension. Further studies should be conducted to evaluate these measurements in the long term and their correlation with a better-quality scar.http://www.rbcp.org.br/export-pdf/2644/en_v34n3a05.pdfdermolipectomybaroudi pointshealing tensionabdominal scarabdomen measurements
spellingShingle Níveo Steffen
Thiago Melo de Souza
Caroline Battisti
Pedro Bins Ely
Evaluation of Tension Reduction on Abdominoplasty Scar Using Baroudi Adhesion Sutures
Revista Brasileira de Cirurgia Plástica
dermolipectomy
baroudi points
healing tension
abdominal scar
abdomen measurements
title Evaluation of Tension Reduction on Abdominoplasty Scar Using Baroudi Adhesion Sutures
title_full Evaluation of Tension Reduction on Abdominoplasty Scar Using Baroudi Adhesion Sutures
title_fullStr Evaluation of Tension Reduction on Abdominoplasty Scar Using Baroudi Adhesion Sutures
title_full_unstemmed Evaluation of Tension Reduction on Abdominoplasty Scar Using Baroudi Adhesion Sutures
title_short Evaluation of Tension Reduction on Abdominoplasty Scar Using Baroudi Adhesion Sutures
title_sort evaluation of tension reduction on abdominoplasty scar using baroudi adhesion sutures
topic dermolipectomy
baroudi points
healing tension
abdominal scar
abdomen measurements
url http://www.rbcp.org.br/export-pdf/2644/en_v34n3a05.pdf
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