Complete versus Partial Scarpa's Fascia Preservation Technique in Abdominoplasty on Postoperative Seroma Incidence | ||
| Medicine Updates | ||
| Volume 22, Issue 22, July 2025, Pages 79-92 PDF (678.7 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/muj.2025.358364.1205 | ||
| Authors | ||
| Mohamed Elmaghraby1; Nagy Anas* 2; Hosaam Elkafrawi3; EhabEhab Ali Elhanafy4; Sherif Ibrahim Hegazy1 | ||
| 1Lecturer of Plastic Surgery, Plastic Surgery Department, Faculty of Medicine, Port Said University, Egypt | ||
| 2Plastic Surgery Department, Faculty of Medicine, Portsaid University | ||
| 3Plastic Surgery, Faculty of Medicine, Alexandria University | ||
| 4Professor of General Surgery, Surgery Department, Faculty of Medicine, Port Said University, Egypt | ||
| Abstract | ||
| Background: Abdominoplasty is a surgical operation involving the removal of surplus fat and skin from the abdomen, along with the reconstruction of the anterior abdominal wall muscles. A common consequence is seroma, defined as a pathological collection of serous fluid, including lymphatic fluid and plasma, in a dead space. Maintaining Scarpa's fascia in the lower abdomen diminishes seroma formation post-abdominoplasty. Objectives: This study aims to evaluate the entire Scarpa's fascia preservation approach with its partial preservation variant in abdominoplasty concerning postoperative seroma formation and other related surgical sequelae, including postoperative lower limb edema. Patients and methods: The current randomized clinical study was carried out on 46 patients undergoing abdominoplasty surgery admitted to Port Said General Hospital and Alexandria University Surgery Hospital. Patients undergoing abdominoplasty were spliited into two equal groups of patients: Group I included 23 patients undergoing abdominoplasty with complete scarpa's facia preservation. Group II included 23 patients undergoing abdominoplasty with Partial scarpa's facia preservation. Results: Our study showed statistically significant differences between the studied groups as regards operative time, hospital stay, postoperative hematoma and patient satisfaction. There were statistically no significant differences between the studied groups as regard drain removal and postoperative seroma. Conclusion: The current study reported no difference in postoperative seroma incidence rates among complete Scarpa's fascia preservation technique and its partial preservation variant in abdominoplasty. There is significant difference in operative time between complete Scarpa's fascia preservation technique and its partial preservation variant in abdominoplasty. | ||
| Keywords | ||
| Abdominoplasty; postoperative seroma; Scarpa fascia preserving abdominoplasty. | ||
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