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, 45(3), 113-119. doi: 10.21608/ejprs.2021.183830
Helmy Elwakeel; Mohamed H Abouarab; Hassan M. Kholosy. "Scarpa Fascia versus Rectus Sheath Plane in Lipoabdominoplasty Flap Dissection: Comparative Study". The Egyptian Journal of Plastic and Reconstructive Surgery, 45, 3, 2021, 113-119. doi: 10.21608/ejprs.2021.183830
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, 45(3), pp. 113-119. doi: 10.21608/ejprs.2021.183830
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; 45(3): 113-119. doi: 10.21608/ejprs.2021.183830
Scarpa Fascia versus Rectus Sheath Plane in Lipoabdominoplasty Flap Dissection: Comparative Study
The Department of Plastic Surgery, Faculty of Medicine, Alexandria University, Egypt
Abstract
Background: Abdominoplasty and lipoabdominoplasty are frequently performed aesthetic procedures to improve the contour of the abdomen and flanks. The improvement obtained would positively impact the 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 the 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 the supra Scarpa dissection group (B) than those of the rectus plane group (A) (p < 0.001). Clinically evident seroma was detected in 3 cases of group (A) and 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.
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