The Relation between the Distance of Recto-Fascial Plication and the Intra-Abdominal Pressure Changes before and Immediately after Abdominoplasty | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Article 23, Volume 43, Issue 1, January 2019, Page 143-151 PDF (13.47 MB) | ||||
| Document Type: Research article | ||||
| DOI: 10.21608/ejprs.2019.247330 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Helen Kamel Mohamed* 1; Riham Lashin* 2; Hisham Mohamed Omran3; Mahmoud Ahmed Al-Shaffai3 | ||||
| 1The Department of General Surgery, Faculty of Medicine, Ain Shams University | ||||
| 2The Department of Plastic Surgery a, Faculty of Medicine, Ain Shams University | ||||
| 3The Department of General Surgery, Faculty of Medicine, Ain Shams University | ||||
| Abstract | ||||
| Background: Abdominoplasty surgery involves excision of redundant abdominal skin flap and, in most cases, involves restoring weakened anterior abdominal wall muscles creating an abdominal profile that is smoother and firmer. Diastasis recti caused by anterior abdominal wall weakness. It happens because the space between left and right recti muscles has been widened. Surgical correction for diastasis during the abdominoplasty can be considered as a definitive way for correction of diastasis by performing a plication or folding of the linea alba, this results in a tighter abdominal wall. Aim of Work: Is to evaluate the relationship between the distance of recto-fascial plication and intra-abdominal pressure (IAP) changes before and immediately after abdominoplasty. Patient and Methods: This study included 75 female patients, ageing between 24-57 years old, with mean age of 43.3 years. Patients complained of abdominal redundancy after childbirth, or post massive weight loss, with weak anterior abdominal wall muscles. The diastasis width was measured intraoperatively at three levels (3cm above the umbilicus, at the umbilicus, and 3cm below the umbilicus) before performing recto-fascia plication. Recto-fascial plication have been performed for all patients during their abdominoplasty procedure in two layers. Intra-abdominal pressure (IAP) variation, before and immediately after rectus sheath plication were measured using U-tube technique. Statistical analysis of all measurements were done. Results: Statistical analysis showed that the mean value of diastasis above and at the umbilicus didn't differ significantly, however it was significantly lower below the umbilicus compared with the other two levels. Comparing the pre and postoperative IAP showed non-statistically significant increase of IAP postoperative. Most importantly, statistics showed that there is a statistically significant positive correlation between the IAP immediately after surgery and the distance of rectofascial plication especially above the umbilicus. Complication rate in the current study was 2.6%. Conclusion: As a result of our current study, rectus diastasis width is significantly correlated with the IAP immediately after abdominoplasty, therefore the larger the width of the rectus diastasis, the more increase of IAP that would happen immediately after abdominoplasty. | ||||
| Keywords | ||||
| Abdominoplasty; Recto-fascial plication; Intraabdominal pressure changes; U-tube test | ||||
| References | ||||
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