Hassan, M., Thabet Ghebery, W. (2021). The Triangular Technique for Abdominal Myofascial Plication. The Egyptian Journal of Plastic and Reconstructive Surgery, 45(2), 105-112. doi: 10.21608/ejprs.2021.173870
Mohamed S. M. Hassan; Wael Naeem Thabet Ghebery. "The Triangular Technique for Abdominal Myofascial Plication". The Egyptian Journal of Plastic and Reconstructive Surgery, 45, 2, 2021, 105-112. doi: 10.21608/ejprs.2021.173870
Hassan, M., Thabet Ghebery, W. (2021). 'The Triangular Technique for Abdominal Myofascial Plication', The Egyptian Journal of Plastic and Reconstructive Surgery, 45(2), pp. 105-112. doi: 10.21608/ejprs.2021.173870
Hassan, M., Thabet Ghebery, W. The Triangular Technique for Abdominal Myofascial Plication. The Egyptian Journal of Plastic and Reconstructive Surgery, 2021; 45(2): 105-112. doi: 10.21608/ejprs.2021.173870
The Triangular Technique for Abdominal Myofascial Plication
1The Department of Plastic Surgery, Faculty of Medicine, Fayoum University Egypt
2The Department of Plastic Surgery, Faculty of Medicine, Cairo University, Egypt
Abstract
Introduction: Abdominoplasty has two fundamental principles: First: Removal of excess fat and skin from the abdominal wall. Second: Narrowing of the waistline. Myofascial plication is a fundamental part of abdominoplasty that is done by most surgeons to reinforce the weakened abdominal wall and to produce a narrow waistline. Despite many techniques were depicted for abdominal wall plication, there is no general agreement among plastic surgeons about the ideal technique. In this article, the authors demonstrate and evaluate the triangular technique for myofascial plication. Patients and Methods: Between January 2019 and February 2020, the authors applied the triangle plication technique on 19 women with rectus muscle diastasis who underwent anterior abdominal wall plication as a part of conventional abdominoplasty. The patients were followed-up for 7-12 months post-operative. The results were assessed mainly by measuring the reduction in the waist to hip ratio, the patients' satisfaction on a scale of 0 to 10, and by an external observer using the Global Aesthetic Improvement SCORE (GAIS). Results: Patients' satisfaction were graded as excellent in 95% of cases and the GAIS ranged between scores 4-5 in 95% of cases with 17.3% average reduction in the ratio of waist to hip measures and 19.3% average reduction of the vertical length of the rectus sheath. Conclusion: Abdominal myofascial triangular plication is a simple technique that results in improvement of the trunk contour with a narrower waistline, facilitates tension-free closure of abdominoplasty incision, and with high patients' satisfaction rates.
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