Evaluation of the Abdominal Wall Vasculature in Post Bariatric Abdominoplasty: Anatomical and Pathological Study

Document Type : Research article

Authors

1 The Departments of Plastic & Reconstructive Surgery , Faculty of Medicine, Mansoura University

2 The Departments of Plastic & Reconstructive Surgery, Faculty of Medicine, Mansoura University

3 The Departments of Pathology Faculty of Medicine, Mansoura University

Abstract

Following bariatric surgery, the body contouring had a
crucial role in achieving a satisfactory result for the patients.
Hematoma and bleeding are higher in post bariatric patients
probably due to prolonged protein and vitamins deficiencies
and deficient clotting factors. The study subjects were divided
equally into three groups, each group contains 5 patients,
where; group A: Included patients with BMI 25-30 with history
of bariatric surgery in the past two years after at least six
months of stable weight, group B: Included patients with BMI
25-30 with no history of weight loss or bariatric surgery and
group C: Included patients with BMI more than 30 with no
history of weight loss or bariatric surgery. Tissue specimen
from the lower abdomen including superficial epigastric artery
and vein with fat sent for pathological examination. The mean
superficial inferior epigastric artery diameter was 1.7mm in
group A, 1.4mm in group B and 1.6mm in group C. The mean
thickness of inferior epigastric artery thickness was 92.242um
in group A, 104.032um in group B and a mean of 106.038um
in group C. WE have two measurements the diameter and the
wall thickness. The mean superficial inferior epigastric vein
diameter was 2.9mm in group A, 2mm in group B and 2.9mm
in group C. The mean thickness of inferior epigastric vein
thickness was 34.442um in group A, 42.94um in group B and
a mean of 67.99um in group C. In postbaiatric patients it was
noticed intraoperatively that the blood vessels were dilated,
friable so it need more meticulous hemostasis.

Keywords

Main Subjects

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The Egyptian Journal of Plastic and Reconstructive Surgery
Volume 44, Issue 2
April 2020
Pages 245-251

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