Treatment of marked abdominal wall musculoaponeurotic flaccidity: 26 years of experience
We investigated the causative factors of abdominal support and shape and found that excessive musculoskeletal flaccidity of primary origin causes an inability to support the abdominal wall and may be associated with the predisposing factors. For such cases, we developed a treatment consisting of the...
| Main Authors: | , , |
|---|---|
| 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/2654/en_v34n3a12.pdf |
| _version_ | 1797409072201334784 |
|---|---|
| author | Alberto Magno Lott Caldeira John Fortunato Jaulis Solórzano Kelly Stelle Carrión MAuricio |
| author_facet | Alberto Magno Lott Caldeira John Fortunato Jaulis Solórzano Kelly Stelle Carrión MAuricio |
| author_sort | Alberto Magno Lott Caldeira |
| collection | DOAJ |
| description | We investigated the causative factors of abdominal support and shape and found that excessive musculoskeletal flaccidity of primary origin causes an inability to support the abdominal wall and may be associated with the predisposing factors. For such cases, we developed a treatment consisting of the placement of a subcutaneous mesh. Here, we present our experience with this treatment. We present a case series of 15 patients in our 26 years of experience who were treated with primary and secondary abdominoplasties. The abdominal wall was reinforced by placing a polypropylene mesh in the submuscular plane with U-stitches in the transversalis fascia, aiming at strengthening the muscle and transverse fascia. The results were satisfactory in the long term. Abdominal bulges were repaired, and muscle harmony was restored. Only two complications occurred: chronic pain localized in the abdomen, which was treated with steroid infiltrations, and an early umbilical fistula with spontaneous and rapid resolution, regardless of the proposal. |
| first_indexed | 2024-03-09T04:09:01Z |
| format | Article |
| id | doaj.art-c69f928e47b2414a822ff88cc2aaf786 |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T04:09:01Z |
| publishDate | 2019-09-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-c69f928e47b2414a822ff88cc2aaf7862023-12-03T14:03:30ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352019-09-01340337838310.5935/2177-1235.2019RBCP0211Treatment of marked abdominal wall musculoaponeurotic flaccidity: 26 years of experienceAlberto Magno Lott Caldeira0John Fortunato Jaulis Solórzano1Kelly Stelle Carrión MAuricio2Instituto Avançado de Cirurgia Plástica Alberto Caldeira, Rio de Janeiro, RJ, BrazilInstituto Avançado de Cirurgia Plástica Alberto Caldeira, Rio de Janeiro, RJ, BrazilInstituto Avançado de Cirurgia Plástica Alberto Caldeira, Rio de Janeiro, RJ, BrazilWe investigated the causative factors of abdominal support and shape and found that excessive musculoskeletal flaccidity of primary origin causes an inability to support the abdominal wall and may be associated with the predisposing factors. For such cases, we developed a treatment consisting of the placement of a subcutaneous mesh. Here, we present our experience with this treatment. We present a case series of 15 patients in our 26 years of experience who were treated with primary and secondary abdominoplasties. The abdominal wall was reinforced by placing a polypropylene mesh in the submuscular plane with U-stitches in the transversalis fascia, aiming at strengthening the muscle and transverse fascia. The results were satisfactory in the long term. Abdominal bulges were repaired, and muscle harmony was restored. Only two complications occurred: chronic pain localized in the abdomen, which was treated with steroid infiltrations, and an early umbilical fistula with spontaneous and rapid resolution, regardless of the proposal.http://www.rbcp.org.br/export-pdf/2654/en_v34n3a12.pdfabdominoplastymuscular diastasismuscular atrophysecondary treatmentsubcutaneous mesh |
| spellingShingle | Alberto Magno Lott Caldeira John Fortunato Jaulis Solórzano Kelly Stelle Carrión MAuricio Treatment of marked abdominal wall musculoaponeurotic flaccidity: 26 years of experience Revista Brasileira de Cirurgia Plástica abdominoplasty muscular diastasis muscular atrophy secondary treatment subcutaneous mesh |
| title | Treatment of marked abdominal wall musculoaponeurotic
flaccidity: 26 years of experience |
| title_full | Treatment of marked abdominal wall musculoaponeurotic
flaccidity: 26 years of experience |
| title_fullStr | Treatment of marked abdominal wall musculoaponeurotic
flaccidity: 26 years of experience |
| title_full_unstemmed | Treatment of marked abdominal wall musculoaponeurotic
flaccidity: 26 years of experience |
| title_short | Treatment of marked abdominal wall musculoaponeurotic
flaccidity: 26 years of experience |
| title_sort | treatment of marked abdominal wall musculoaponeurotic flaccidity 26 years of experience |
| topic | abdominoplasty muscular diastasis muscular atrophy secondary treatment subcutaneous mesh |
| url | http://www.rbcp.org.br/export-pdf/2654/en_v34n3a12.pdf |
| work_keys_str_mv | AT albertomagnolottcaldeira treatmentofmarkedabdominalwallmusculoaponeuroticflaccidity26yearsofexperience AT johnfortunatojaulissolorzano treatmentofmarkedabdominalwallmusculoaponeuroticflaccidity26yearsofexperience AT kellystellecarrionmauricio treatmentofmarkedabdominalwallmusculoaponeuroticflaccidity26yearsofexperience |