Aesthetic Plastic Surgery of the Abdomen

 

Description:

This comprehensive book covers anatomy, recent techniques, postoperative care, possible complications and outcomes in aesthetic surgery of the abdomen. The extensive section on aesthetic procedures includes many important innovations in abdominoplasty. Detailed consideration is also given to the various potential complications, with guidance on their prevention, diagnosis, and management. The book is written by acknowledged experts in the topics on which they write. It will be of value for residents and fellows and more experienced surgeons in the fields of plastic surgery, general surgery, cosmetic surgery and general surgery.

 

Table of Contents:

 

Part I: History

1: Abdominoplasty History

1.1 Introduction

1.2 History

1.3 Umbilicoplasty

References

Part II: Anatomy

2: Muscular Anatomy of the Anterior Abdomen

2.1 Introduction

2.2 Cutaneous Landmarks and Innervation

2.3 Cutaneous Lymphatics and Vasculature

2.4 Structural Organization

2.5 Muscular Wall of the Abdominal Wall

2.6 External Abdominal Oblique Muscle and Aponeurosis and Inguinal Ligament (Fig. 2.3)

2.7 Aponeurosis of External Oblique, Superficial Inguinal Ring, and Inguinal Ligament (Fig. 2.4)

References

3: Vascular and Neurologic Anatomy of the Anterior Abdominal Wall

3.1 Vascular Anatomy (Fig. 3.1)

3.2 Neurologic Anatomy (Fig. 3.2)

Reference

4: Anatomical Illustration of the Abdominal Wall and Fat

4.1 The Skin

4.2 The Subcutaneous Cellular Tissue

4.3 Muscles of Abdominal Wall

4.4 Vascularization of the Abdominal Wall

4.4.1 Median Axis

4.4.2 Lateral Axis

Reference

Part III: Techniques

5: The Impact of the Menstrual Cycle on Intraoperative and Postoperative Bleeding in Abdominopl

5.1 Introduction

5.2 Discussion

5.2.1 Hormonal Changes in Female Tissue During Menstruation

5.2.2 Effects of Menstrual Cycle on Abdominoplasty

Conclusions

References

6: The Umbilical Locator

6.1 Introduction

6.2 History

6.3 Anatomy of the Abdominal Wall

6.3.1 Vascular Supply to the Abdominal Wall

6.3.2 Umbilicus

6.3.2.1 Vascular Supply to the Umbilicus

6.4 Patient Selection

6.5 Demographics

6.6 Complications

6.7 Using the “Umbilical Locator”

Conclusions

References

7: Scarpa Fascia Preservation During Abdominoplasty

7.1 Introduction

7.2 Technique

7.2.1 Case 1 (Fig. 7.8)

7.2.2 Case 2 (Fig. 7.9)

7.2.3 Case 3 (Fig. 7.10)

7.2.4 Case 4 (Fig. 7.11)

7.3 Discussion

7.3.1 Recent Publications

Conclusions

References

8: Medial Advancement of Infraumbilical Scarpa’s Fascia Improves Waistline Definition in “Braz

8.1 Introduction

8.2 The Waist

8.3 The Aesthetic Value of the Waist

8.4 Restoring the Youthful Waistline Definition: A Challenge

8.4.1 Surgical Technique

8.4.2 Results

8.5 Discussion

Conclusions

References

9: No Drain Abdominoplasty with Progressive Tension Suture: The Logic, Simplicity, and Aesthetics

9.1 Introduction

9.2 Surgical Technique

9.2.1 Preoperative Preparation

9.2.2 Liposuction

9.2.3 Flap Elevation and Diastasis Repair

9.2.4 Progressive Tension Suture Placement: Upper Abdomen

9.2.5 In-continuity Umbilical Inset

9.2.6 Progressive Tension Suture Placement: Lower Abdomen

9.2.7 Aesthetic Considerations

9.2.8 Postoperative Management

9.3 Discussion

Conclusions

References

10: Evolution of the High-Superior-­Tension Lipoabdominoplasty: The High-Tension Abdominoplasty

10.1 Introduction

10.2 Historical Perspective

10.3 Abdominoplasty and Liposuction

10.4 Lipoabdominoplasty

10.5 High-Superior-Tension Abdominoplasty (HSTA)

10.6 HSTA Technique

10.6.1 Anatomic Bases

10.6.1.1 Preservation of the Lymphatic Trunks

10.6.1.2 Paraumbilical High-�Tension Sutures

10.6.2 Surgical Technique

10.6.2.1 Hypogastric Liposuction

10.6.2.2 Epigastric Liposuction

10.6.2.3 Incision

10.6.2.4 Undermining

10.6.2.5 Parietal Repair

10.6.2.6 Positioning the New Umbilicus and Traction Sutures (Figs. 10.5, 10.6, and 10.7)

10.6.2.7 Cutaneous Excision

10.6.2.8 Fascia Superficialis Incision

10.6.2.9 Suturing Technique

10.6.2.10 Draining and Compressive Garment

10.7 Cases

10.7.1 Case 1

10.7.2 Case 2

10.7.3 Case 3

Conclusions

References

11: Lipoabdominoplasty with Abdominal Definition

11.1 Introduction

11.2 Surgical Anatomy to Achieve Abdominal Definition

11.3 Patient Selection and Evaluation

11.4 Surgical Technique

11.5 Postoperative Management

11.6 Results

Conclusions

References

12: “Smile” Plication Abdominoplasty

12.1 Introduction

12.2 History

12.3 Anatomical Review

12.3.1 Muscles

12.3.2 Arteries

12.3.3 Veins

12.3.4 Lymphatics

12.3.5 Innervation

12.4 Surgical Technique

12.5 Complications

12.5.1 Seroma

12.5.2 Hematoma

12.5.3 Wound Dehiscence

12.5.4 Cutaneous Necrosis

12.5.5 Sensitivity Alterations

12.5.6 Deep Venous Thrombosis and Pulmonary Embolism

12.5.7 Hypertrophic Scar and Keloids

12.5.8 Fat Embolism

Conclusions

References

13: “Anchor-Line” Abdominoplasty in Post-Bariatric Abdominal Contouring

13.1 Introduction

13.2 History

13.3 Patient Selection

13.4 Vascular Anatomy

13.5 Surgical Technique

13.5.1 Complications

Conclusions

References

14: Circumferential Abdominoplasty

14.1 Introduction

14.2 Background

14.3 Anatomy

14.4 The Ideal Abdomen

14.5 Patient Selection

14.6 Preoperative Care

14.7 Markings and Surgical Technique

14.8 Results

14.9 Postoperative Care

14.10 Complications

References

15: A Paradigm Shift for Abdominoplasty: Transverse Hypogastric Plication Without Supraumbilical Dis

15.1 Introduction

15.2 Surgical Technique

15.2.1 Patient Selection

15.2.2 Surgical Markings

15.2.3 Surgical Procedure

15.3 Prior Publication

15.4 Discussion

15.5 Advantages of TULUA Technique

15.5.1 Vasculature Preservation

15.5.2 Effective and Durable Abdominal Wall Tightening

15.5.3 Correction of Epigastric Skin and Fat Excess

15.5.4 Lower Scar Placement

15.5.5 Less Dead Space in the Wound

15.5.6 Umbilicus Shape and Location

15.5.7 In Secondary and In Difficult Cases

15.5.8 A Simplified Procedure

15.6 Disadvantages

Conclusions

References

16: Abdominoplasty Combined with Cesarean Section: Discussion of the Evidence

16.1 Introduction

16.2 Research

16.2.1 Results

16.3 Discussion

Conclusions

References

17: Lipoabdominoplasty

17.1 Introduction

17.2 History of Lipoabdominoplasty

17.3 Traditional Abdominoplasty

17.3.1 Technique

17.3.1.1 Surgical Evaluation of the Patient

17.3.1.2 Selection of Patients

17.3.1.3 Surgical Planning

17.3.1.4 The Operation

Selection and Classification of the Procedures

Type 1: Lower Lipoabdominoplasty

Type 2: Upper Lipoabdominoplasty

Type 3: Lower and Upper Lipoabdominoplasty

Type 4: Full Lipoabdominoplasty

17.4 Discussion

17.5 Informed Consent

Conclusions

References

18: Modified Lipoabdominoplasty Without Surgical Drains

18.1 Introduction

18.2 Technique

18.3 Discussion

Conclusions

References

19: Vaser Lipoabdominoplasty

19.1 Introduction

19.2 Lipoabdominoplasty

19.3 Vaser Lipoabdominoplasty Technique

19.3.1 Liposuction

19.3.2 Surgical Excision

19.3.3 Navel Preparation

19.3.4 Suturing

19.3.5 Postoperative

19.4 Complications

Conclusions

19.5 Clinical Cases

Reference

General References

20: The Effectiveness and Safety of Combining Laser-Assisted Liposuction and Abdominoplasty

20.1 Introduction

20.2 Preoperative Planning

20.3 Surgical Technique

20.4 Postoperative

20.5 Surgical Outcome

20.5.1 Patient Assessment

20.5.2 Clinical Outcome

20.5.3 Statistical Analysis

20.6 Discussion

Conclusions

References

21: Abdominal Contouring Associated with Other Procedures

21.1 Introduction

21.2 Gynecomastia (Mixed or Pure) with Associated Procedures

21.3 Abdominoplasty Combined with Vaser

21.4 Abdominoplasty Post Bariatric Surgery, Mastopexy, and Arm Lift

21.5 Abdominoplasty Post Bariatric Surgery and Male Mastopexy

21.6 Breast Augmentation and Vaser Abdomen Contouring

21.7 Abdominoplasty with Vaser Contouring and Breast Augmentation

21.8 Breast Fat Augmentation and Abdominal Contouring

Conclusions

References

22: Modified Abdominoplasty for Patients with Prune Belly Syndrome

22.1 Introduction

22.2 Technique

22.3 Results

22.4 Discussion

References

23: Vaser Abdominal Contouring

23.1 Vaser Ultrasound Technology

23.2 Male Abdominal Contouring

23.2.1 Markings

23.2.2 Skin Incisions

23.2.3 Technique

23.2.4 Infiltration

23.3 Vaser Emulsification

23.3.1 Aspiration (Fig. 23.10)

23.4 Body Contouring Enhancement

23.5 Female Abdomen

23.5.1 Markings

23.5.2 Technique

23.5.3 Aspiration

References

24: The Abdominoplasty Access for Desmoid Tumor Resection in the Rectus Abdominis Muscle

24.1 Introduction

24.2 Technique

24.3 Discussion

Conclusions

References

25: Abdominal Wall Repair Post Hernia in Kidney and Liver Transplantation

25.1 Anatomy of the Abdominal Wall

25.1.1 Anterior Musculature and Ligaments

25.2 Complications in Liver and Kidney Transplantation

25.3 Open Repair Technique

25.4 Open Mesh Repair Technique

25.5 Laparoscopic Repair Technique

25.6 Component Separation Technique

25.7 Prosthetic Materials

25.8 Synthetic and Biologic Meshes

25.9 Clinical Cases

25.9.1 Case 1 (Fig. 25.9)

25.9.2 Case 2 (Fig. 25.10)

25.9.3 Case 3 (Fig. 25.11)

References

26: Abdominoplasty as the Impetus for Selection of the Deep Inferior Epigastric Artery Perforat

26.1 Introduction

26.2 Surgical Technique

26.3 Case Report

26.4 Discussion

Conclusions

References

27: Scarless Umbilicoplasty Technique

27.1 Introduction

27.2 Surgical Technique

Conclusions

References

Part IV: Postoperative

28: Metabolic Effect of Abdominoplasty in the Lipid Profile of Patients with Dyslipidemia

28.1 Introduction

28.2 Objectives

28.3 Methods

28.4 Results

28.5 Discussion

Conclusion

References

29: Weight Reduction Following Liposuction

29.1 Introduction

29.2 Liposuction and Weight Reduction

29.2.1 Adipose Tissue and Obesity in Molecular Level

29.2.2 Experimental Studies of Lipectomy

29.3 Clinical Studies of Lipectomy

29.4 Discussion

Conclusions

References

30: Ventilatory Function in Patients Who Undergo Abdominoplasty with Plication of the Aponeurosi

30.1 Pulmonary Physiology

30.1.1 Spirometry, Lung Volumes, and Diffusing Capacity

30.1.2 Diffusing Capacity

30.2 Postoperative Pulmonary Complications Following Abdominal and Thoracic Surgery

30.3 Pulmonary Function Testing in the Preoperative Evaluation for Lung Surgery

30.4 Abdominal Surgery and Its Effect on Ventilatory Patterns

30.5 Physiologic Mechanisms Responsible for Reductions in Lung Function After Abdominoplasty

Conclusions

References

31: C-Reactive Protein Decrease After Postbariatric Abdominoplasty

31.1 Introduction

31.2 Method

31.3 Results

31.4 Discussion

References

Part V: Complications

32: Complications of Abdominoplasty

32.1 Introduction

32.2 Complications

32.2.1 Asymmetry

32.2.2 Bleeding (Bruising, Hematoma, Exsanguination) [1–3]

32.2.3 Dehiscence [1, 4]

32.2.4 Dog-Ears

32.2.5 Edema, Persistent

32.2.6 Indentation

32.2.7 Infection, Sepsis [1]

32.2.8 Necrosis [1, 2, 4]

32.2.9 Necrotizing Fasciitis

32.2.10 Need for Further Surgery

32.2.11 Perforation of Intra-­abdominal Organ

32.2.12 Recurrent Panniculus

32.2.13 Recurrent Protrusion of Abdominal Wall

32.2.14 Scarring (Widened, Thickened, Hypertrophic, Keloid) [2]

32.2.15 Sensory Loss

32.2.16 Seroma [1–3, 7, 8]

32.2.17 Skin Overhanging Scar

32.2.18 Thromboembolism

32.2.18.1 Clinical Manifestations of Thromboembolism

32.2.18.2 Prevention

32.2.19 Toxic Shock Syndrome

32.2.20 Umbilical Stenosis

32.2.21 Umbilicus, Off Center or Loss

32.3 Discussion

References

33: Retrospective Analysis of Never Events in Panniculectomy and Abdominoplasty Patients and The

33.1 Background

33.2 Methods

33.3 Statistics

33.4 Results

33.5 Discussion

References

34: Tension Suture Technique Combined with Lidocaine-Adrenaline-Saline Infiltration Decreases Compl

34.1 Introduction

34.2 Technique

34.3 Discussion

Conclusions

References

35: Acute Abdomen After Abdominoplasty: Differential Diagnosis

35.1 Introduction

35.2 Clinical Scenario

35.3 Potential Patients to Postoperative Complications

35.4 Clinical Evaluation

35.5 Differential Diagnosis

35.6 Surgical Approach

35.7 Treatment for the Clinical Scenario

Conclusions

References

36: The Impact of the Menstrual Cycle on Intraoperative and Postoperative Bleeding in Abdominop

36.1 Introduction

36.2 Patients and Technique of Study

36.3 Results

36.4 Discussion

References

37: Maximizing Chemoprophylaxis Against Venous Thromboembolism in Abdominoplasty

37.1 Introduction

37.2 Protocols

37.3 Discussion

Conclusions

References

38: A Study of Postural Changes After Abdominal Rectus Plication Abdominoplasty

38.1 Introduction

38.2 Anatomic Consideration in Posture Balance

38.3 Body Image, Self-Esteem, and Quality of Life

38.4 Anatomic Consideration in Abdominoplasty

38.5 Abdominal Wall Deformity Classification

38.5.1 Abdominal Wall Deformity Classification Based on Skin Type Excess Evaluation (Table 38.3)

38.5.2 Abdominal Wall Deformity Classification Based on Musculoaponeurotic Deformities

38.6 The Body-Contouring Operations

38.7 Abdominoplasty Techniques and Liposuction

38.8 Patient Diagnosis and Selection

38.9 Patient Physical Examination

38.9.1 Skin

38.9.2 Subcutaneous Tissue

38.9.3 Abdominal Wall Laxity

38.10 Location and Time of Operation

38.11 Management of Complications

Conclusion

References

39: Abdominoplasty Complications and Seroma: From Prevention to Effective Treatment

39.1 General Concepts

39.2 Complications

39.2.1 Seroma

39.2.1.1 Pathophysiology of Seroma

39.2.1.2 Patient Features and Risk Factors

39.2.1.3 Surgical Approaches to Prevent Seroma

39.2.1.4 Treatment of Early and Late Complications Affecting the Aesthetic Outcomes

References

40: Delayed Complications in Abdominoplasty: A Case of a Ten-Year-Old Abdominoplasty Abscess

40.1 Introduction

40.2 Late Appearance of Infection

References

41: Acute Esophageal Dilation in Post-­bariatric Patients Undergoing Abdominoplasty Operation

41.1 Introduction

41.2 Abdominoplasty

References

42: Hematological Variables and Iron Status in Abdominoplasty After Bariatric Surgery

42.1 Introduction

42.2 Technique

42.3 Discussion

Conclusions

References

43: Increased Intraoperative Bleeding in Patients Undergoing Abdominoplasty After Gastroplasty Is N

43.1 Introduction

43.2 Material and Methods

43.2.1 Preoperative Period

43.2.2 Immediate Preoperative, Intraoperative, and Postoperative Periods

43.2.3 Postoperative Period

43.3 Results

43.4 Discussion

Conclusions

References

Part VI: Outcomes, Satisfaction

44: Comparison of Short-Term Surgical Outcomes Between NHS and Private Sector Abdominoplasty Surge

44.1 Introduction

44.2 Methods

44.3 Results

44.4 Discussion

References

45: Outcomes of Traditional Cosmetic Abdominoplasty in a Community Setting

45.1 Introduction

45.2 Patient Preoperative Assessment

45.3 Restrictive and Malabsorptive Operations

45.4 Outcomes

45.4.1 Bleeding (Bruising, Hematoma, and Exsanguination)

45.4.2 Seroma

45.4.3 Thromboembolism

45.4.4 Infection

45.4.5 Wound Dehiscence

45.4.6 Necrosis

45.4.7 Perforation of  Intra-­abdominal Viscus

45.4.8 Scarring (Widened, Thickened, Hypertrophic, and Keloid)

45.4.9 Asymmetry and Dog Ears

45.4.10 Recurrent Panniculus and Protrusion of Abdominal Wall

45.4.11 Sensation

45.4.12 Pulmonary Function

45.5 Effects on Quality of Life, Self-Esteem, and Emotional Stability

References

46: Long-Term Ultrasonographic Evaluation of Midline Aponeurotic Plication During Abdominoplasty

46.1 Introduction

46.2 Surgical Technique

46.3 Ultrasonographic Evaluation

46.4 Statistical Analysis

46.5 Results

46.6 Discussion

Conclusions

References

47: Complications and Level of Satisfaction After Abdominoplasty Post-bariatric Surgery

47.1 Introduction

47.2 Preoperative Evaluation

47.3 Surgical Technique

47.4 Risks and Complications

47.4.1 Assessment of Complications [20]

47.4.1.1 Early Complications (Within 2 Weeks)

47.4.1.2 Late Complications

47.5 Satisfaction and Quality of Life

Conclusions

References

Index

 

An aparitie	4 Nov. 2015
Autor	Alberto Di Giuseppe , Melvin A. Shiffman
Dimensiuni	18.11 x 3.48 x 26.34 cm
Editura	Springer
Format	Hardcover
ISBN	9783319200033
Limba	Engleza
Nr pag	571