Evaluation of the Abdominal Wall Vasculature in Post Bariatric Abdominoplasty: Anatomical and Pathological Study | ||||
The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
Article 3, Volume 44, Issue 2, April 2020, Page 245-251 PDF (9.69 MB) | ||||
Document Type: Research article | ||||
DOI: 10.21608/ejprs.2020.112459 | ||||
View on SCiNiTO | ||||
Authors | ||||
Tarek Zahra* 1; Ahmed Zeina2; Abdelhadi Mohamed Shebl3; Amr Mohamed Khatter2; Mohamed Radwan Elhadidy2 | ||||
1The Departments of Plastic & Reconstructive Surgery , Faculty of Medicine, Mansoura University | ||||
2The Departments of Plastic & Reconstructive Surgery, Faculty of Medicine, Mansoura University | ||||
3The Departments of Pathology Faculty of Medicine, Mansoura University | ||||
Abstract | ||||
Following bariatric surgery, the body contouring had a crucial role in achieving a satisfactory result for the patients. Hematoma and bleeding are higher in post bariatric patients probably due to prolonged protein and vitamins deficiencies and deficient clotting factors. The study subjects were divided equally into three groups, each group contains 5 patients, where; group A: Included patients with BMI 25-30 with history of bariatric surgery in the past two years after at least six months of stable weight, group B: Included patients with BMI 25-30 with no history of weight loss or bariatric surgery and group C: Included patients with BMI more than 30 with no history of weight loss or bariatric surgery. Tissue specimen from the lower abdomen including superficial epigastric artery and vein with fat sent for pathological examination. The mean superficial inferior epigastric artery diameter was 1.7mm in group A, 1.4mm in group B and 1.6mm in group C. The mean thickness of inferior epigastric artery thickness was 92.242um in group A, 104.032um in group B and a mean of 106.038um in group C. WE have two measurements the diameter and the wall thickness. The mean superficial inferior epigastric vein diameter was 2.9mm in group A, 2mm in group B and 2.9mm in group C. The mean thickness of inferior epigastric vein thickness was 34.442um in group A, 42.94um in group B and a mean of 67.99um in group C. In postbaiatric patients it was noticed intraoperatively that the blood vessels were dilated, friable so it need more meticulous hemostasis. | ||||
Keywords | ||||
Abdominoplasty; Bariatric surgery; Obesity; Superficial epigastric | ||||
References | ||||
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