Modification of Rectal Myofascial Repair in Abdominoplasty for Patients with Widely Divaricated Recti

Abstract

Background: To gain the best aesthetic outcome afterabdominoplasty for patients with weak abdominal wall muscleshas been the ultimate goal for plastic surgeons and patients.Myofascial repair is one of the modern techniques to have aflat abdomen and a perfect waist with accepted rehabilitativeoutcome. But as any technique, it has its benefits and drawbacks.Aim of the Study: This study aims to document and evaluatethe durability of modified myofascial repair as a method formusculoapneurotic reconstruction in abdominoplasty forpatients with moderate to severe weak lax abdomen.Patients and Methods: Thirteen patients were includedin this study for the purpose of performing abdominoplastyto treat weak lax abdomen over the period of 2 years fromJanuary 2017 to February 2019. Follow-up period for eachcase was at least 6 months for the functional outcome andpatient satisfaction.Results: Changes in spirometry values before and afteroperation were recorded and tolerated by all patients. Waistmeasures taken before and after operation showed greatimprovement. Patients satisfaction was extremely high andthere were no evidences for secondary hernias.Conclusion: Myofacial repair modification is a durablemethod to gain a good aesthetic and functional output inabdominoplasty for patients with severe abdominal laxity.