“Inverted-Y”: A Modified Vest-Over-Pants Abdominoplasty Pattern Following Bariatric Surgery

Bracaglia, Roberto; Tambasco, Damiano; D’Ettorre, Marco; Gentileschi, Stefano

doi:10.1007/s00266-012-9956-4

Cited by 27 publications

(10 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…ICG Fluorescence angiography (Bracaglia, Tambasco, D'Ettorre, & Gentileschi, ; Gentileschi et al, ; Li et al, ) was critical in our case to take the final decision of transposing the flap only on its neural pedicle and confirmed to be a very useful tool for intraoperative study of flaps with questionable perfusion.…”

Section: Discussionmentioning

confidence: 64%

Pedicled neurocutaneous anterolateral thigh flap for groin reconstruction – A case report

et al. 2019

Self Cite

View full text Add to dashboard Cite

Several different flaps based on the feeding vessels of sensitive nerves have been described in the limbs. This article reports the case of a neurocutaneous flap based on the lateral femoral cutaneous nerve (LFCN), employed for reconstruction of an inguinal defect. A 61‐years‐old female patient had undergone vulvectomy and bilateral inguinal lymphadenectomy for vulvar cancer with postoperative left groin wound breakdown. After a 3 weeks negative pressure therapy course, she presented a 10 × 4 cm skin and subcutaneous defect with undermined edges in the left inguinal area. Reconstruction with 14 × 6 cm pedicled left anterolateral thigh flap was planned. After the dissection of the vascular pedicle and of the sensitive nerve, complete thrombosis of both the veins and arterial spasm of perforating pedicle was detected. As the flap color was good, and slow marginal bleeding was present, we inspected the small vessels surrounding the nerve that were pulsating. To confirm the vascularization coming from the neural pedicle, we clamped the perforator and performed intraoperative indocyanine green (ICG) fluorescence angiography that showed a good fluorescence of the flap with a proximal to distal pattern of progression. The flap was transferred on the neural pedicle, survived completely, and wounds healed normally. Three months after surgery, the patient underwent radiotherapy, with uneventful course. In her last follow‐up, 2 years after surgery, patient was free of disease and the flap showed normal scarring. This is the first case reported of a pedicled neurocutaneous flap based on the LFCN, indicating that in case of unsuitable perforators it could be an alternative pedicle.

show abstract

Section: Discussionmentioning

confidence: 64%

Pedicled neurocutaneous anterolateral thigh flap for groin reconstruction – A case report

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

“…In our opinion, when evaluating a patient undergoing a vaginal reconstruction with McIndoe technique, the possibility to harvest the necessary skin grafts from a simultaneous body contouring procedure desired by patient should be investigated. Besides breasts, many possible donor sites can be included in a dermolipectomy, such as abdominoplasty, particularly in case of weight loss . In these patients, we could provide a good neovagina coverage with minimal donor site morbidity.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous correction of breast hypertrophy and vaginal agenesis: Aesthetic surgery to the aid of reconstructive surgery

Gentileschi

Pino

Albanese

et al. 2019

J of Obstet and Gynaecol

Self Cite

View full text Add to dashboard Cite

Mayer‐Rokitansky‐Küster‐Hauser syndrome is characterized by aplasia of the uterus and the upper ⅔ of the vagina, with normal female genotype (46,XX) and the development of secondary sexual characters. One of the most popular surgical treatment is the McIndoe procedure, which major drawbacks are the scar of split thickness skin graft (STSG)harvesting, and risk of vaginal stenosis for graft retraction. We report the case of a patient, operated modifying the McIndoe technique, by harvesting a full thickness skin grafts (FTSG) from patient's breasts, undergone simultaneous reduction mammoplasty. The FTSG provided a complete lining of the reconstructed neovagina. At 6 months, we observed complete mucinous metaplasia of the vaginal walls and 1 year after surgery no sign of stenosis, without the use of the mold. The advantages of this technique are reduced donor site morbidity, when compared with traditional McIndoe technique, and reduced risk of neovagina retraction ensured by FTSG, compared with STSG. If future patients’ series confirm the good results achieved, we could consider it as a first‐line option in patients undergoing neovagina reconstruction, seeking breasts or body contouring surgery.

show abstract

“…Vest-over-pants technique and a willingness to close the umbilical donor hole separately if required, can avoid excessive tension at closure. [61] Lateral tilts of the operating table and of the patient on the table must be ruled out before skin resection to avoid an asymmetric umbilicus. When paramedian plication of the abdominal fascia is done, care must be taken to equalise the tension on both sides so as not to displace the umbilicus.…”

Section: Discussionmentioning

confidence: 99%

Minimising complications in abdominoplasty: An approach based on the root cause analysis and focused preventive steps

Rangaswamy

2013

Indian J Plast Surg

View full text Add to dashboard Cite

Significant complications still occur after abdominoplasty, the rate varies widely in different series. This variation suggests that there is a lot of scope for improvement. This paper reviews the various complications and also the technical improvements reported in the last 20 years. The root cause of each complication is analysed and preventive steps are suggested based on the literature and the author's own personal series with very low complication rates. Proper case selection, risk stratified prophylaxis of thromboembolism, initial synchronous liposuction, flap elevation at the Scarpa fascia level, discontinuous incremental flap dissection, vascular preservation and obliteration of the sub-flap space by multiple sutures emerge as the strongest preventive factors. It is proposed that most of the complications of abdominoplasty are preventable and that it is possible to greatly enhance the aesthetic and safety profile of this surgery.

show abstract

“Inverted-Y”: A Modified Vest-Over-Pants Abdominoplasty Pattern Following Bariatric Surgery

Abstract: This journal requires that authors assign a level of evidence to each article.

Cited by 27 publications

References 25 publications

Pedicled neurocutaneous anterolateral thigh flap for groin reconstruction – A case report

Pedicled neurocutaneous anterolateral thigh flap for groin reconstruction – A case report

Simultaneous correction of breast hypertrophy and vaginal agenesis: Aesthetic surgery to the aid of reconstructive surgery

Minimising complications in abdominoplasty: An approach based on the root cause analysis and focused preventive steps

Contact Info

Product

Resources

About