Abdominal Wall Plication and Correction of Deformities of the Myoaponeurotic Layer: Focusing on Materials and Techniques Used for Synthesis

Nahas, Fábio Xerfan; Faustino, Leandro Dario; Ferreira, Lydia Masako

doi:10.1093/asj/sjy333

Cited by 18 publications

(12 citation statements)

References 43 publications

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“…This type of plication has been shown to be efficient and effective for prevention of recurrence, and requires less operative time than a 2-layer plication. 21 , 22 Plication is performed both superior and inferior to the umbilicus. Following midline plication, the laxity of the anterior abdominal wall is reassessed, and if unacceptable laxity remains only then will oblique plication of the lateral abdominal wall be performed.…”

Section: Resultsmentioning

confidence: 99%

Improvement in Back Pain Following Abdominoplasty: Results of a 10-Year, Single-Surgeon Series

Soteropulos

Edinger

Leibl

et al. 2020

Aesthetic Surgery Journal

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Background Few studies have examined the impact of abdominoplasty on chronic back pain. Objectives The aim of this study was to test our hypothesis that patients undergoing abdominoplasty with anterior abdominal wall plication will show significant improvements in back pain and physical function compared with those without plication. Methods We utilized Current Procedural Terminology (CPT) codes to identify patients who underwent abdominoplasty with the senior author over a 10-year period. The Oswestry Disability Index (ODI) and the RAND 36-Item Short-Form Health Survey (SF-36) were administered. All patients indicating preoperative back pain were reviewed. Results Of 338 patients, 143 surveys (42.3%) were returned; 51 patients (35.7%; n = 28 aesthetic, n = 23 massive weight loss) reported preoperative back pain on the ODI. Paired t tests compared overall and strata-specific changes in ODI and SF-36 pre- and postsurgery. Multivariable linear regression models were fitted to model relations between scores and plication, adjusting for presurgery scores and patient variables. There were significant improvements in overall patient cohort in ODI (–15.14), SF-36 physical function (19.92), and pain (17.42) (P < 0.001), as well as when patients were stratified by plication status. However, outcomes between those with plication and those without were not significantly different. Conclusions Abdominoplasty with and without anterior abdominal wall plication significantly improves ODI and SF-36 scores relating to physical function and pain, in both aesthetic and massive weight loss patients. Outcomes did not differ based on plication status. All patients with preoperative back pain showed improvement regardless of operation performed, suggesting that abdominoplasty with or without abdominal wall plication improves chronic back pain in this patient population. Level of Evidence: 4

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Section: Resultsmentioning

confidence: 99%

Improvement in Back Pain Following Abdominoplasty: Results of a 10-Year, Single-Surgeon Series

Soteropulos

Edinger

Leibl

et al. 2020

Aesthetic Surgery Journal

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“…In CIED implantation, typical wound closure involves hierarchical closure of three layers (fascia, subcutaneous, and subcuticular/intradermal) 1 . While in abdominal wall surgery, an increasing body of evidence suggests that single‐layer suture is a safe and efficient wound closure technique 2–4 . Regarding the prevention of incisional hernia due to the increase of intra abdominal pressure, continuous suturing is beneficial compared to interrupted closure in abdominal wall surgery 13 .…”

Section: Discussionmentioning

confidence: 99%

“…Single‐layer suture has been widely used in abdominal wall surgery, 2–4 and low‐density suture spacing closure has been reported to be safe and aesthetic in the wound repair of the trunk and extremities 5 . Reducing the number of suture stitches through single‐layer suture with low‐density suture spacing could save wound closure time and may be helpful for the drainage of postoperative pocket‐related bleeding or effusion.…”

Section: Introductionmentioning

confidence: 99%

Cardiac device implant wound closure with a novel low‐density suture spacing single layer method

Yao

Nie

Sun

et al. 2021

Pacing Clinical Electrophis

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Background To establish a novel time‐saving and safe suture method for cardiac implantable electronic device (CIED) implantation. Methods From January 2017 to April 2020, a total of 1317 patients scheduled for CIED procedure were consecutively enrolled in this study. Wound closure of all patients were prospectively assigned either to low‐density suture spacing single layer suture group (single‐layer group) or traditional two layer suture group (two‐layer group). The effects of two closure methods on wound healing and pocket related complications were compared. Results There were no significant differences in age, gender, BMI, comorbid diseases (diabetes, hypertension, coronary heart disease, and chronic kidney disease), and antiplatelet or anticoagulant drug use between the two groups. The number of suture stitches in the single‐layer group was significantly less than that in the two‐layer group [3.03(3–4) vs. 7.17(7–10), p < .001], the suture time in the single‐layer group was significantly shorter than that in the two‐layer group [190.57(167–256) s vs. 493.36(452–655) s, p < .001], and the incidence of clinically significant hematoma in the single‐layer group was comparable to that in the two‐layer group (0.7% vs. 0.3%, p = .742). Additionally, there were no significant differences in the incidence of pocket infection, dehiscence and keloid between the two groups. Conclusion Novel single‐layer suture with low‐density suture spacing is feasible and associated with a low incidence of wound dehiscence or infection for CIED implantation.

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“…To meet the increasing aesthetic demands of patients, different musculoaponeurotic system plications have been described, including vertical, horizontal, curved, fusiform, "H"-shaped, and the crossbow plication [5][6][7][8][9]. However, to date, there is no general agreement among plastic surgeons about the best technique to be used [10], leading abdominoplasty to become increasingly complicated [1]. This stimulated the authors to offer the "Triangular Technique" as a new simple technique of abdominal myofascial plication.…”

Section: Discussionmentioning

confidence: 99%

“…Numerous plication techniques were depicted as vertical, horizontal, fusiform, curved, "H"-105 shaped and a combination of horizontal and vertical techniques as in crossbow plication techniques [4][5][6][7][8][9]. However, to date, there is no general agreement among plastic surgeons about the ideal technique for myofascial plication as abdominoplasty patients ask for a more narrow waistline, from the author point of view, they are affected by social media beauty trends, and this made abdominoplasty continuously develop, improve, and become increasingly complicated [1,10].…”

Section: Introductionmentioning

confidence: 99%

The Triangular Technique for Abdominal Myofascial Plication

Hassan

Ghebery

2021

The Egyptian Journal of Plastic and Reconstructive Surgery

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Introduction: Abdominoplasty has two fundamental principles: First: Removal of excess fat and skin from the abdominal wall. Second: Narrowing of the waistline. Myofascial plication is a fundamental part of abdominoplasty that is done by most surgeons to reinforce the weakened abdominal wall and to produce a narrow waistline. Despite many techniques were depicted for abdominal wall plication, there is no general agreement among plastic surgeons about the ideal technique. In this article, the authors demonstrate and evaluate the triangular technique for myofascial plication.Patients and Methods: Between January 2019 and February 2020, the authors applied the triangle plication technique on 19 women with rectus muscle diastasis who underwent anterior abdominal wall plication as a part of conventional abdominoplasty. The patients were followed-up for 7-12 months post-operative. The results were assessed mainly by measuring the reduction in the waist to hip ratio, the patients' satisfaction on a scale of 0 to 10, and by an external observer using the Global Aesthetic Improvement SCORE (GAIS).Results: Patients' satisfaction were graded as excellent in 95% of cases and the GAIS ranged between scores 4-5 in 95% of cases with 17.3% average reduction in the ratio of waist to hip measures and 19.3% average reduction of the vertical length of the rectus sheath. Conclusion:Abdominal myofascial triangular plication is a simple technique that results in improvement of the trunk contour with a narrower waistline, facilitates tension-free closure of abdominoplasty incision, and with high patients' satisfaction rates.

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Abdominal Wall Plication and Correction of Deformities of the Myoaponeurotic Layer: Focusing on Materials and Techniques Used for Synthesis

Cited by 18 publications

References 43 publications

Improvement in Back Pain Following Abdominoplasty: Results of a 10-Year, Single-Surgeon Series

Improvement in Back Pain Following Abdominoplasty: Results of a 10-Year, Single-Surgeon Series

Cardiac device implant wound closure with a novel low‐density suture spacing single layer method

The Triangular Technique for Abdominal Myofascial Plication

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