Elwakeel, H., Abouarab, M., Kholosy, H. (2021). Scarpa fascia versus rectus sheath plane in Lipoabdominoplasty flap dissection: Comparative study.. The Egyptian Journal of Plastic and Reconstructive Surgery, (), -. doi: 10.21608/ejprs.2021.69058.1063
Helmy Elwakeel; Mohamed Abouarab; Hassan Mahmoud Kholosy. "Scarpa fascia versus rectus sheath plane in Lipoabdominoplasty flap dissection: Comparative study.". The Egyptian Journal of Plastic and Reconstructive Surgery, , , 2021, -. doi: 10.21608/ejprs.2021.69058.1063
Elwakeel, H., Abouarab, M., Kholosy, H. (2021). 'Scarpa fascia versus rectus sheath plane in Lipoabdominoplasty flap dissection: Comparative study.', The Egyptian Journal of Plastic and Reconstructive Surgery, (), pp. -. doi: 10.21608/ejprs.2021.69058.1063
Elwakeel, H., Abouarab, M., Kholosy, H. Scarpa fascia versus rectus sheath plane in Lipoabdominoplasty flap dissection: Comparative study.. The Egyptian Journal of Plastic and Reconstructive Surgery, 2021; (): -. doi: 10.21608/ejprs.2021.69058.1063
Scarpa fascia versus rectus sheath plane in Lipoabdominoplasty flap dissection: Comparative study.
Articles in Press, Accepted Manuscript, Available Online from 25 April 2021
1Department of plastic and reconstructive surgery, Faculty of Medicine,
Alexandria University, Alexandria, Egypt.
2Lecturer of plastic surgery Department of plastic and reconstructive surgery, Faculty of Medicine, Alexandria University, Egypt.
3Department of Plastic Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt
Abstract
Background: Abdominoplasty and lipoabdominoplasty are frequently performed aesthetic procedures to improve the contour of abdomen and flanks. The improvement obtained would positively impact patient’s self-image and life quality. A lot of potential complications would compromise surgeon/patient satisfaction, the most frequent being seroma formation. A lot of measures/techniques were advocated to reduce seroma incidence including the use of suction drain, dead space obliteration by quilting sutures, and preservation of infraumbilical Scarpa fascia/deep fat layer. The latter is the focus of the current comparative study. Patients and Methods: 40 full lipoabdominoplasty cases were randomized into 2 equal groups based on infraumbilical dissection plane. Group A with traditional rectus sheath dissection plane and group B with supra Scarpa dissection plane. Post-operative drainage volume, time of drain removal and incidence of symptomatic seromas were documented. Results: Drainage volume and duration of drainage were significantly lower in supra Scarpa dissection group (B) than those of rectus plane group (A) (p < 0.001). Clinically evident seroma was detected in 3 cases of group (A) and in one case of group (B). All resolved after 2-3 aspirations in outpatient settings. Both groups were homogenous regarding BMI, age, volume of lipoaspirate, weight of excised dermofat and mean operative time. Conclusion: Scarpa fascia/deep fat preservation significantly reduced the drainage volume and duration. A lower seroma incidence was also observed. Key Words: Scarpa fascia, Lipoabdominoplasty, Seroma.