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Erschienen in: Aesthetic Plastic Surgery 1/2018

07.12.2017 | Original Article

The Bidirectional, Absorbable, No-Drain Abdominoplasty

verfasst von: Joseph B. O’Connell

Erschienen in: Aesthetic Plastic Surgery | Ausgabe 1/2018

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Abstract

This article outlines the author’s technique, and the concepts of Bidirectional, Absorbable, No-Drain Abdominoplasty (BAND-Abdominoplasty). The attendant advantages and disadvantages are reviewed in the context of a retrospective, 5-year, single surgeon series.
Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these evidence-based medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
Literatur
1.
Zurück zum Zitat Kelly HA (1899) Report of gynaecological cases. Johns Hopkins Hosp Bull 103:196–197 Kelly HA (1899) Report of gynaecological cases. Johns Hopkins Hosp Bull 103:196–197
2.
Zurück zum Zitat ASAPS (2016) Cosmetic Surgery National Data Bank Statistics. Industry Insights Inc., Columbus OH ASAPS (2016) Cosmetic Surgery National Data Bank Statistics. Industry Insights Inc., Columbus OH
3.
Zurück zum Zitat Winocour J, Gupta V, Ramirez JR, Shack RB, Grotting J, Higdon KK (2015) Abdominoplasty: risk factors, complication rates, and safety of combined procedures. Plast Reconstr Surg 136(5):597e–606eCrossRefPubMed Winocour J, Gupta V, Ramirez JR, Shack RB, Grotting J, Higdon KK (2015) Abdominoplasty: risk factors, complication rates, and safety of combined procedures. Plast Reconstr Surg 136(5):597e–606eCrossRefPubMed
4.
Zurück zum Zitat Kim J, Stevenson TR (2006) Abdominoplasty, liposuction of the flanks and obesity: analyzing risk factors for seroma formation. Plast Reconstr Surg 117(3):773–779CrossRefPubMed Kim J, Stevenson TR (2006) Abdominoplasty, liposuction of the flanks and obesity: analyzing risk factors for seroma formation. Plast Reconstr Surg 117(3):773–779CrossRefPubMed
5.
Zurück zum Zitat Murphy RX et al (2012) Evidence-based practices for thromboembolism prevention: summary of the asps venous thromboembolilsm task force report. Plast Reconstr Surg 130(1):168e–175eCrossRefPubMed Murphy RX et al (2012) Evidence-based practices for thromboembolism prevention: summary of the asps venous thromboembolilsm task force report. Plast Reconstr Surg 130(1):168e–175eCrossRefPubMed
6.
Zurück zum Zitat Temel M, Turkmen A, Berberoglu O (2016) Improvements in vertebral-column angles and psychological metrics after abdominoplasty with rectus plication. Aesthet Surg J 36(5):577–587CrossRefPubMed Temel M, Turkmen A, Berberoglu O (2016) Improvements in vertebral-column angles and psychological metrics after abdominoplasty with rectus plication. Aesthet Surg J 36(5):577–587CrossRefPubMed
7.
Zurück zum Zitat Matarasso A (1991) Abdominolipoplasty: a system of classification and treatment for combined abdominoplasty and suction-assisted lipectomy. Aesth Plast Surg 15:111–121CrossRef Matarasso A (1991) Abdominolipoplasty: a system of classification and treatment for combined abdominoplasty and suction-assisted lipectomy. Aesth Plast Surg 15:111–121CrossRef
8.
9.
Zurück zum Zitat Spiegelman JI, Levine RH (2006) Abdominoplasty: a comparison of outpatient and inpatient procedures shows that it is a safe and effective procedure for outpatients in an office-based clinic. Plast Reconstr Surg 118(2):517–522CrossRefPubMed Spiegelman JI, Levine RH (2006) Abdominoplasty: a comparison of outpatient and inpatient procedures shows that it is a safe and effective procedure for outpatients in an office-based clinic. Plast Reconstr Surg 118(2):517–522CrossRefPubMed
10.
Zurück zum Zitat Kryger ZB, Fine NA, Mustoe TA (2004) The outcome of abdominoplasty performed under conscious sedation: six-year experience in 153 consecutive cases. Plast Reconstr Surg 113(6):1807–1817CrossRefPubMed Kryger ZB, Fine NA, Mustoe TA (2004) The outcome of abdominoplasty performed under conscious sedation: six-year experience in 153 consecutive cases. Plast Reconstr Surg 113(6):1807–1817CrossRefPubMed
11.
12.
Zurück zum Zitat Andrades P, Prado A (2007) Composition of postabdominoplasty seroma. Aesth Plast Surg 31:514–518CrossRef Andrades P, Prado A (2007) Composition of postabdominoplasty seroma. Aesth Plast Surg 31:514–518CrossRef
13.
Zurück zum Zitat Baroudi R, Ferreira CAA (1998) Seroma: how to avoid it and how to treat it. Aesthet Surg J 18:439–441CrossRefPubMed Baroudi R, Ferreira CAA (1998) Seroma: how to avoid it and how to treat it. Aesthet Surg J 18:439–441CrossRefPubMed
14.
Zurück zum Zitat Antonetti JW, Antonetti AR (2010) Reducing seroma in outpatient abdominoplasty: analysis of 516 consecutive cases. Aesthet Surg J 30(3):418–427CrossRefPubMed Antonetti JW, Antonetti AR (2010) Reducing seroma in outpatient abdominoplasty: analysis of 516 consecutive cases. Aesthet Surg J 30(3):418–427CrossRefPubMed
15.
Zurück zum Zitat Macias LH, Kown E, Gould DJ, Spring MA, Stevens WG (2016) Decrease in seroma rate after adopting progressive tension sutures without drains: a single surgery center experience of 451 abdominoplasties over 7 years. Aesthet Surg J 36(9):1029–1035CrossRefPubMed Macias LH, Kown E, Gould DJ, Spring MA, Stevens WG (2016) Decrease in seroma rate after adopting progressive tension sutures without drains: a single surgery center experience of 451 abdominoplasties over 7 years. Aesthet Surg J 36(9):1029–1035CrossRefPubMed
16.
Zurück zum Zitat Pollock H, Pollock T (2000) Progressive tension sutures: a Technique to reduce local complications in abdominoplasty. Plast Reconstr Surg 105(7):2583–2586CrossRefPubMed Pollock H, Pollock T (2000) Progressive tension sutures: a Technique to reduce local complications in abdominoplasty. Plast Reconstr Surg 105(7):2583–2586CrossRefPubMed
17.
Zurück zum Zitat Pollock TA, Pollock H (2012) Progressive tension sutures in abdominoplasty: a review of 597 consecutive cases. Aesthet Surg J 32(6):729–742CrossRefPubMed Pollock TA, Pollock H (2012) Progressive tension sutures in abdominoplasty: a review of 597 consecutive cases. Aesthet Surg J 32(6):729–742CrossRefPubMed
18.
Zurück zum Zitat Jabbour S, Awaida C, Mhawej R, Habre SB, Nasr M (2016) Does the addition of progressive tension sutures to drains reduce seroma incidence after abdominolasty? A systematic review and meta-analysis. Aesthet Surg J. Advance Access published 10/27/2016 1-8 Jabbour S, Awaida C, Mhawej R, Habre SB, Nasr M (2016) Does the addition of progressive tension sutures to drains reduce seroma incidence after abdominolasty? A systematic review and meta-analysis. Aesthet Surg J. Advance Access published 10/27/2016 1-8
20.
Zurück zum Zitat Seretis K, Goulis D, Demiri E, Lykoudis E (2017) Prevention of seroma formation following abdominoplasty: a systematic review and meta-analysis. Aesthet Surg J 37(3):316–323CrossRefPubMed Seretis K, Goulis D, Demiri E, Lykoudis E (2017) Prevention of seroma formation following abdominoplasty: a systematic review and meta-analysis. Aesthet Surg J 37(3):316–323CrossRefPubMed
21.
Zurück zum Zitat Nasr M, Jabbour S, Mhawej R, Elkhoury J, Sleilati F (2017) Effect of tissue adhesives on seroma incidence after abdominoplasty: a systematic review and meta-analysis. Aesthet Surg J 36(4):450–458CrossRef Nasr M, Jabbour S, Mhawej R, Elkhoury J, Sleilati F (2017) Effect of tissue adhesives on seroma incidence after abdominoplasty: a systematic review and meta-analysis. Aesthet Surg J 36(4):450–458CrossRef
22.
Zurück zum Zitat Stoff A, Reichenberger M, Richter D (2007) Comparing the ultrasonically activated scalpel (Harmonic) with high-frequency electrocautery for postoperative serous drainage in massive weight loss surgery. Plast Reconstr Surg 120(4):1092–1093CrossRefPubMed Stoff A, Reichenberger M, Richter D (2007) Comparing the ultrasonically activated scalpel (Harmonic) with high-frequency electrocautery for postoperative serous drainage in massive weight loss surgery. Plast Reconstr Surg 120(4):1092–1093CrossRefPubMed
23.
Zurück zum Zitat Mittal P, Kumar A, Kaur S, Pandove P, Singla RL, Singh J (2017) A comparative study of the use of harmonic scalpel versus unipolar cautery in modified radical mastectomy. Niger J Surg 23:20–25CrossRefPubMedPubMedCentral Mittal P, Kumar A, Kaur S, Pandove P, Singla RL, Singh J (2017) A comparative study of the use of harmonic scalpel versus unipolar cautery in modified radical mastectomy. Niger J Surg 23:20–25CrossRefPubMedPubMedCentral
24.
Zurück zum Zitat Chaouat M, Levan P, Lalanne B, Buisson T, Nicolau P, Mimoun M (2000) Abdominal dermolipectomies: early postoperative complications and long-term unfavorable results. Plast Reconstr Surg 106(7):1614–1618CrossRefPubMed Chaouat M, Levan P, Lalanne B, Buisson T, Nicolau P, Mimoun M (2000) Abdominal dermolipectomies: early postoperative complications and long-term unfavorable results. Plast Reconstr Surg 106(7):1614–1618CrossRefPubMed
25.
Zurück zum Zitat Jordan W, Khavanin N, Kim J (2016) Seroma in prosthetic breast reconstruction. Plast Reconstr Surg 137(4):1104–1116CrossRefPubMed Jordan W, Khavanin N, Kim J (2016) Seroma in prosthetic breast reconstruction. Plast Reconstr Surg 137(4):1104–1116CrossRefPubMed
26.
Zurück zum Zitat Nahas FX, Augusto SM, Ghelfond C (2001) Nylon versus polydioxanone in the correction of rectus diastasis. Plast Reconstr Surg 107(3):700–706CrossRefPubMed Nahas FX, Augusto SM, Ghelfond C (2001) Nylon versus polydioxanone in the correction of rectus diastasis. Plast Reconstr Surg 107(3):700–706CrossRefPubMed
27.
Zurück zum Zitat Mestak O, Kullac R, Mestak J, Nosek A, Krajcova A, Sukop A (2012) Evaluation of the long-term stability of sheath plication using absorbable sutures in 51 patients with diastasis of the recti muscles: an ultrasonographic study. Plast Reconstr Surg 130(5):714e–719eCrossRefPubMed Mestak O, Kullac R, Mestak J, Nosek A, Krajcova A, Sukop A (2012) Evaluation of the long-term stability of sheath plication using absorbable sutures in 51 patients with diastasis of the recti muscles: an ultrasonographic study. Plast Reconstr Surg 130(5):714e–719eCrossRefPubMed
28.
Zurück zum Zitat Tiryaki KT, Aksungur E, Grotting JC (2016) Micro-shuttle lifting of the neck: a percutaneous loop suspension method using a novel double-ended needle. Aesthet Surg J 36(6):629–638CrossRefPubMed Tiryaki KT, Aksungur E, Grotting JC (2016) Micro-shuttle lifting of the neck: a percutaneous loop suspension method using a novel double-ended needle. Aesthet Surg J 36(6):629–638CrossRefPubMed
29.
Zurück zum Zitat Gutowski KA, Warner JP (2013) Incorporating barbed sutures in abdominoplasty. Aesthet Surg J 33(35):76S–81SCrossRefPubMed Gutowski KA, Warner JP (2013) Incorporating barbed sutures in abdominoplasty. Aesthet Surg J 33(35):76S–81SCrossRefPubMed
30.
Zurück zum Zitat Rammos B (2016) Personal Communication Rammos B (2016) Personal Communication
31.
Zurück zum Zitat Isaac KV, Lista F, McIsaac MP, Ahmad J (2017) Drainless abdominoplasty using barbed progressive tension sutures. Aesthet Surg. J 37(4):428–429CrossRefPubMed Isaac KV, Lista F, McIsaac MP, Ahmad J (2017) Drainless abdominoplasty using barbed progressive tension sutures. Aesthet Surg. J 37(4):428–429CrossRefPubMed
32.
Zurück zum Zitat Rosen AD (2010) Use of absorbable running barbed suture and progressive tension technique in abdominoplasty: a novel approach. Plast Reconstr Surg 125(3):1024–1027CrossRefPubMed Rosen AD (2010) Use of absorbable running barbed suture and progressive tension technique in abdominoplasty: a novel approach. Plast Reconstr Surg 125(3):1024–1027CrossRefPubMed
Metadaten
Titel
The Bidirectional, Absorbable, No-Drain Abdominoplasty
verfasst von
Joseph B. O’Connell
Publikationsdatum
07.12.2017
Verlag
Springer US
Erschienen in
Aesthetic Plastic Surgery / Ausgabe 1/2018
Print ISSN: 0364-216X
Elektronische ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-017-1007-8

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