Lipoabdominoplasty in correction of abdominal wall defects

Abstract

The aim — to increase the treatment efficacy for patients with cosmetic defects of the anterior abdominal wall by introducing new simultaneous operations techniques in combination with lipoabdominoplasty.Materials and methods. The original procedure was used in 42 patients (the main group). The comparison group included 40 patients. The average age of patients in the main group was 38.2 ± 2.8 years, and 41.1 ± 2.3 years in the comparison group. 35 (83.3 %) of the patients in the main group were either obese or overweight (average BMI 34.2 ± 1.9), the maximal patient’s body weight was 113 kg. In the comparison group, the average BMI was 35.1 ± 1.7, the maximal patient’s body weight was 117 kg. The term of postoperative observation was 12 months.Results and discussion. The average duration of surgical intervention was 129 ± 15 min in the comparison group and 170.2 ± 6.5 minutes in the main group, which was caused by the additional liposuction procedure. The average volumes of liposuction were 1253.6 ± 36.2 ml and ranged 250 — 2750 ml. Volumes over 1000 ml were observed in 30 patients (71.4 %). 6 complications (13.3 %) developed in the main group and in 12 patients from the comparison group (30.0 %).Conclusions. The lower level of postoperative complications in patients with 13.3 % with a potentially high risk compared with traditional abdominoplasty — 30.0 % (p < 0.05), is an important argument in favour of lipoabdominoplasty. When evaluating the result after 12 months, the advantage of an excellent result in the main group was found to be 71.2 %, as opposed to 37.5 % in the comparison group.