Prevenção e tratamento de equimose, edema e fibrose no pré, trans e pós-operatório de cirurgias plásticas

Chi, Anny; A, Lange; Guimarães, Marcus Vinicius Thomé Nóra; Santos, Celso Bilynkievycz dos

doi:10.5935/2177-1235.2018rbcp0147

Cited by 6 publications

(3 citation statements)

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“…32 The term “reverse” indicates manual lymphatic drainage performed from the infraumbilical skin toward the axillary lymph nodes, directing finger movement to the axilla. 33 It is currently recommended to resume conventional manual lymphatic drainage of the lower abdomen (toward the inguinal lymph nodes) 1 month after abdominoplasty, when neoformation of the lymphatic vessels is complete. This has yet to be scientifically validated, however.…”

Section: Discussionmentioning

confidence: 99%

Changes in the Pattern of Superficial Lymphatic Drainage of the Abdomen after Abdominoplasty

Bassalobre

Liebano

Silva

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Background:The changes in the pattern of lymphatic drainage of the superficial abdominal wall after abdominoplasty are still unknown. These changes may increase the risk of numerous complications, including seroma formation. Depending on the alterations, the manual lymphatic drainage technique should be modified in postoperative patients. The aim of this study was to map the pattern of lymphatic drainage of the superficial infraumbilical abdominal wall after abdominoplasty. Methods: Twenty women with indications for abdominoplasty were selected in the Plastic Surgery Division of the Federal University of São Paulo. Intradermal lymphoscintigraphy with dextran 500-99m-technetium was performed in 20 female patients in the preoperative phase and 1 and 6 months after abdominoplasty to evaluate superficial lymphatic drainage of the abdominal wall. Results: Before surgery, all patients presented with abdominal lymphatic drainage toward the inguinal lymph nodes. One and 6 months after abdominoplasty, only 15 percent exhibited the same drainage pathway. Drainage toward the axillary lymph node chain occurred in 65 percent of the patients, 10 percent displayed a drainage pathway toward both the axillary and inguinal lymph nodes, and lymphatic drainage was indeterminate in 10 percent of the cases. Conclusions: A significant change in lymphatic drainage pathway occurred in the infraumbilical region after abdominoplasty. The axillary drainage path was predominant after the operation, in contrast to the inguinal path observed in the preoperative period. However, 35 percent of cases exhibited alternative drainage. No significant changes were documented between 1 and 6 months postoperatively.

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Section: Discussionmentioning

confidence: 99%

Changes in the Pattern of Superficial Lymphatic Drainage of the Abdomen after Abdominoplasty

Bassalobre

Liebano

Silva

et al. 2022

Plastic &Amp; Reconstructive Surgery

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“…A aplicação do kinesio taping junto com a CDT pode ter um efeito melhor na diminuição do linfedema, o que pode estimular a redução do edema para efeitos a longo prazo. Chi et al, 2018 Campo/ tem como objetivo propor uma abordagem inédita desde o pré, trans e pósoperatório para prevenir e minimizar as fibroses, edema intenso e equimoses, acelerando a recuperação do paciente e reduzindo o número de sessões.…”

Section: Pekyavas Et Al 2014unclassified

O uso do taping no pós-operatório de cirurgia plástica

Correa

Sousa

Oliveira

2021

RSD

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Conceitua que a cirurgia plástica estética (CPE) busca remodelar partes normais do corpo para afins de beleza e autoestima. Por ter apresentado ótimos resultados e pela observação pessoal positiva do profissional na evolução do pós-operatório, a fita atlética vem sendo cada vez mais requisitada pela equipe de cirurgia plástica. Identifica-se como objetivo desse trabalho, expor os resultados apresentados pelo uso do taping no pós-operatório de cirurgia plásticas, bem como os benefícios das suas diversas aplicabilidades para amenizar manifestações da cirurgia. Trata-se de uma revisão narrativa de literatura, buscando uma atualização e meio de obter informações sobre um determinado tema em um curto período de tempo. A pesquisa foi realizada nas seguintes bases de dados: Scientific Electronic Library Online (sciELO), Google Scholar, PUBMED e LILACS (Literatura Latino-Americana e do Caribe em Ciências da Saúde) como também em livros relacionado ao tema proposto. Diante disso, artigos tratam da utilização da bandagem elástica como recurso fisioterapêutico no pós-operatório de cirurgias plásticas, com objetivos comuns como prevenir e tratar o edema, equimose, fibrose e alterações cicatriciais decorrente da cirurgia. Por fim, apesar das bandagens estarem estimulando a recuperação de pacientes pós cirurgia plástica e os resultados parecem ser cada vez mais promissores, é fato que por se tratar de uma técnica nova, há carência de estudos científicos que comprovem o efeito terapêutico causado pela bandagem elástica durante o pós operatório bem como o que questionam alguns bases da técnica.

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“…It should be applied according to the anatomy of the lymphatic flow, with the cut in 4 or 5 strips in the form of an octopus or fan, which is applied with minimum tension, and has shown satisfactory results since its application in transoperative as observed and described in scientific articles [14].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Taping in the Lymphatic System through Lymphoscintigraphy of Upper and Lower Limbs: A Case Study

Marquetti¹,

Chi²,

Siqueira³

et al. 2019

Health

Self Cite

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Introduction: Lymphatic taping has been used extensively in several areas of physical therapy, and has been prominent in the treatment of edema. Its results are considered empirical and no study reports its effect observed by a lymphocyte count study. Purpose: To verify the performance of lymphatic taping in the lymphatic system using lymphoscintigraphy examination. Methods: A 44-year-old male patient with no clinical signs of lymphatic alteration underwent lymphoscintigraphy examination prior to and after application of lymphatic taping in the upper and lower limbs on different days of placement to verify if the use of lymphatic taping may influence the lymph flow. Results: The result was an improvement in the lymphatic flow with application of lymphatic taping only in the lower limbs, where the taping acted only for 24 hours. There was a greater amount of radiopharmaceutical extracted in the feet of the patient, comparing pre-and post-application of taping. At the foot of the left lower limb, the absorption ratio doubled. There was also improvement in the right limb, but on a smaller scale. Conclusion: Through the evaluation of the lymphatic system by lymphoscintigraphy it can be observed that the values analyzed are relatively higher when the patient has lymphatic taping applied with both 10% and 20% of tension in the lower limbs.

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Prevenção e tratamento de equimose, edema e fibrose no pré, trans e pós-operatório de cirurgias plásticas

Cited by 6 publications

References 0 publications

Changes in the Pattern of Superficial Lymphatic Drainage of the Abdomen after Abdominoplasty

Changes in the Pattern of Superficial Lymphatic Drainage of the Abdomen after Abdominoplasty

O uso do taping no pós-operatório de cirurgia plástica

Evaluation of Taping in the Lymphatic System through Lymphoscintigraphy of Upper and Lower Limbs: A Case Study

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