Abdominal Lipodystrophy, Abdominal Wall Laxity, Abdominal Wall Viability
Conditions
Keywords
Abdominoplasty, Liposuction, Undermining
Brief summary
This study evaluates the safety and outcomes of combining liposuction with varying degrees of abdominal flap undermining during abdominoplasty. Patients were randomly anssigned into three groups based on the extent of undermining and use of liposuction. Outcomes assessed included complication rates, horizontal laxity, and aesthetic results.
Interventions
PROCEDURELiposuction
Liposuction of the abdominal flap
PROCEDUREWide undermining
Wide undermining of the abdominal flap
PROCEDURELimited undermining
Limited undermining of the abdominal flap
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 55 Years
Healthy volunteers
Yes
Inclusion criteria
* Adult patients undergoing * Patients fit for elective surgery * BMI less than 35 kg/m2
Exclusion criteria
* Significant uncontrolled comorbidities * Previous major abdominal surgery affecting flap vascularity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Aesthetic outcome | 6 months postoperatively | The postoperative aesthetic outcome was assessed using four predefined criteria by three independent surgeons in a double-blinded fashion. Each patient was assigned a postoperative score, with 1 representing the poorest outcome and 5 the best outcome. The mean score of all reviewers was then calculated for each case. These criteria included waist contour, residual adiposity (central), skin flaccidity, and the overall aesthetic appearance. |
| Postoperative complication rate (e.g., seroma, necrosis, infection) | Within 6 months postoperatively | — |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Horizontal laxity | 6 months postoperatively | The "bury test" was used to assess the amount of horizontal laxity. The "bury test", almost the reverse of the pinch, involves burying the loose skin by tightly rolling the skin folds on either side of the resection area, and marking the maximum width of skin contact. This distance was measured both at rest and under tension. |
| Change in BMI | 6 months postoperatively | — |
| Epigastric pinch | 6 months postoperatively | The epigastric pinch was measured pre and postoperatively and difference was recorded |
Countries
Egypt
Outcome results
None listed