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Beautiful belly: types of operations, complications

https://doi.org/10.17238/2072-3180-2021-4-65-71

Abstract

Abdominal plastic is one of the most commonly performed cosmetic surgeries worldwide. Dermolipectomy has existed for more than a century and certainly in such a long time it has undergone significant changes. Modern endoscopic technologies, liposuctions, operations using mini-access, suturing of abdominal wall diastasis are widely used in abdominoplasty. However, there is no consensus on the choice of the method of operational intervention today. The review presents a modern classification of the omission of tissues of the anterior abdominal wall. From a historical point of view, the types and methods of strengthening the anterior abdominal wall, the materials used to strengthen it, with a description of negative and positive aspects are described. The formation of the "ideal" location of the navel and the postoperative scar are of enormous importance in the final cosmetic result of the entire operation, therefore, the review presents methods for the formation of the neo-navel.
The most common complications in the postoperative period of abdominoplasty are described in detail. When performing dermolipectomy, special attention is paid to aesthetics. Based on the study of the data of the medical literature on abdominoplasty, the authors identified the basic principles that must be observed when choosing a surgical approach to dermоlipectomy and measures for the prevention of postoperative complications.

About the Authors

R. A. Pakhomova
Private Institution - educational Organization of higher Education University REAVIZ
Russian Federation

 M.D., D.Sc. (Medicine), associate professor of the Department of Surgical Diseases

198099, St. Petersburg, 8 Kalinina St., building 2 



A. M. Babadzhanyan
Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University
Russian Federation

 Clinical resident of the Department of General Surgery named after Prof. M.I. Gulman

660022, Krasnoyarsk, 1, Partizan Zheleznyak St. 



L. V. Kochetova
Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University
Russian Federation

 PhDs in Medicine, professor of the Department of the general surgery of the professor M.I. Gulman 

660022, Krasnoyarsk, 1, Partizan Zheleznyak St. 



I. A. Fedotov
Clinical Hospital «Russian Railways-Medicine» in Krasnoyarsk
Russian Federation

 Surgeon 

660058, Krasnoyarsk, 47, Lomonosov St. 



References

1. Matarasso A., Matarasso D.M., Matarasso E.J. Abdominoplasty. Clinics in Plastic Surgery, 2014, № 41 (4), pp. 655–672. https://doi.org/10.1016/j.cps.2014.07.005

2. Winocour J., Gupta V., Ramirez J.R., et al. Abdominoplasty. Plastic and Reconstructive Surgery, 2015, № 136 (5), pp. 597e–606e. https://doi.org/10.1097/prs.0000000000001700

3. Mishalov V.G., Khrapach V.V., Balaban O.V. Algorithm for choosing the method of surgery for abdominoplasty. Surgery. Eastern Europe, 2013, № 3 (07), pp. 121–132. (In Russ.)

4. Semenov V.V., Kurygin A.A., Tarbaev S.D. et al. The Rives-Stoppa operation is the foundation of the modern concept of treatment of patients with ventral hernias (55 years in surgery). Bulletin of Surgery named after I. I. Grekov, 2020, № 179 (6), pp. 107–110. https://doi.org/10.24884/0042-4625-2020-179-6-107-110 (in Russ.)

5. Baryshnikov I.V. Overview of the global dynamics of the provision of services in plastic surgery. Ural Medical Journal, 2019, № 9, pp. 73–80. https://doi.org/10.25694/URMJ.2019.09.196 (in Russ.)

6. Plekhanova S.I., Zotov V.A., Berezhnaya O.O. Variants of techniques in abdominoplasty: a historical digression and a modern view of the location of surgical incisions. Fundamental and Clinical Medicine, 2018, № 3 (1), pp. 77–89. https://doi.org/10.23946/2500-0764-2018-3-1-77-89 (in Russ.)

7. Staalesen T., Elander A., Strandell A. et al. A systematic review of outcomes of abdominoplasty. Journal of Plastic Surgery and Hand Surgery, 2012, № 46 (3–4), pp. 139–144. https://doi.org/10.3109/2000656x.2012.683794

8. Fernandes J.W., Damin R., Holzmann M.V. et al. Use of an algorithm in choosing abdominoplasty techniques. Revista Do Colégio Brasileiro de Cirurgiões, 2018, № 45(2), pp. e1394. https://doi.org/10.1590/0100-6991e-20181394

9. Rosenfield L.K., Davis C.R. Evidence-Based Abdominoplasty Review with Body Contouring Algorithm. Aesthetic Surgery Journal, 2019, № 39 (6), pp. 643–661. https://doi.org/10.1093/asj/sjz013

10. Sukhinin A.A., Petrovsky A.N. Minimally invasive techniques in the correction of anatomical features of the anterior abdominal wall and in the treatment of ventral hernias. Surgery. Journal named after N.I. Pirogov, 2020, № 10, pp. 88–94. https://doi.org/10.17116/hirurgia202010188 (in Russ.)

11. Mendes F.H., Donnabella A., Fagotti Moreira A.R. Fleur-de-lis Abdominoplasty and Neo-umbilicus. Clinics in Plastic Surgery, 2019, № 46 (1), pp. 49–60. https://doi.org/10.1016/j.cps.2018.08.007

12. Sindeeva L.V., Chikisheva I.V., Kochetova L.V. et al. Abdominoplasty: history, current state and prospects (literature review). Questions of reconstructive and plastic surgery, 2020, № 23 (4), pp. 30–38. https://doi.org/10.17223/1814147/75/04 (in Russ.)

13. Shipkov H.D., Mojallal A., Braye F. Simultaneous Abdominoplasty and Umbilical Hernia Repair via Laparoscopy: a Preliminary Report. Folia Medica, 2017, № 59 (2), pp. 222–227. https://doi.org/10.1515/folmed-2017-0026

14. Van Schalkwyk C.P., Dusseldorp J.R., Liang D.G. et al. Concomitant Abdominoplasty and Laparoscopic Umbilical Hernia Repair. Aesthetic Surgery Journal, 2018, № 38 (12), pp. 196–204. https://doi.org/10.1093/asj/sjy100

15. Schlosshauer T., Kiehlmann M., Riener M. et al. Comparative analysis on the effect of low‐thermal plasma dissection device (PEAK PlasmaBlade) vs conventional electrosurgery in post‐bariatric abdominoplasty: A retrospective randomised clinical study. International Wound Journal, 2019, № 16 (6), pp. 1494–1502. https://doi.org/10.1111/iwj.13221

16. Pollock T.A., Pollock H. (2020). Drainless Abdominoplasty Using Progressive Tension Sutures. Clinics in Plastic Surgery, 2020, № 133 (7), pp. 783–788. https://doi.org/10.1016/j.cps.2020.03.007

17. Isaac K.V., Lista F., McIsaac M.P. Drainless Abdominoplasty Using Barbed Progressive Tension Sutures. Aesthetic Surgery Journal, 2017, № 37 (4), pp. 428–429. https://doi.org/10.1093/asj/sjw241

18. Nasr M.W., Jabbour S.F., Mhawej R.I. et al. Effect of Tissue Adhesives on Seroma Incidence After Abdominoplasty: A Systematic Review and Meta-Analysis. Aesthetic Surgery Journal, 2016, № 36 (4), pp. 450–458. https://doi.org/10.1093/asj/sjv276

19. Seretis K., Goulis D., Demiri E.C. et al. Prevention of Seroma Formation Following Abdominoplasty: A Systematic Review and MetaAnalysis. Aesthetic Surgery Journal, 2017, № 37 (3), pp. 316–323. https://doi.org/10.1093/asj/sjw192

20. Keyes G.R., Singer R., Iverson R.E. et al. Incidence and Predictors of Venous Thromboembolism in Abdominoplasty. Aesthetic Surgery Journal, 2017, № 38 (2), pp. 162–173. https://doi.org/10.1093/asj/sjx154

21. Dutot M.C., Serror K., Al Ameri O. et al. Improving Safety after Abdominoplasty. Plastic and Reconstructive Surgery, 2018, № 142 (2), pp. 355–362. https://doi.org/10.1097/prs.0000000000004572

22. Vidal P., Berner J. E., Will P.A. Managing Complications in Abdominoplasty: A Literature Review. Archives of Plastic Surgery, 2017, № 44 (5), pp. 457–468. https://doi.org/10.5999/aps.2017.44.5.457

23. Gutowski K.A. Evidence Based Medicine. Plastic and Reconstructive Surgery, 2017, № 141 (2), pp. 286e–299e. https://doi.org/10.1097/prs.0000000000004232


Review

For citations:


Pakhomova R.A., Babadzhanyan A.M., Kochetova L.V., Fedotov I.A. Beautiful belly: types of operations, complications. Moscow Surgical Journal. 2021;(4):65-71. (In Russ.) https://doi.org/10.17238/2072-3180-2021-4-65-71

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ISSN 2072-3180 (Print)