Wahdan, W., Sobhy, A., Seddik, M., Ismail, K. (2025). Comparative Study between the Supra-Scarpa’s and The Supra-Fascial Planes of Dissection in Abdominoplasty Procedures, in the Incidence of Seroma Formation Postoperatively. The Egyptian Journal of Plastic and Reconstructive Surgery, 49(2), 149-157. doi: 10.21608/ejprs.2025.425150
Wessam Samir Wahdan; Ahmed Mohamed Sobhy; Mustafa Ahmed Seddik; KArima Taher Ismail. "Comparative Study between the Supra-Scarpa’s and The Supra-Fascial Planes of Dissection in Abdominoplasty Procedures, in the Incidence of Seroma Formation Postoperatively". The Egyptian Journal of Plastic and Reconstructive Surgery, 49, 2, 2025, 149-157. doi: 10.21608/ejprs.2025.425150
Wahdan, W., Sobhy, A., Seddik, M., Ismail, K. (2025). 'Comparative Study between the Supra-Scarpa’s and The Supra-Fascial Planes of Dissection in Abdominoplasty Procedures, in the Incidence of Seroma Formation Postoperatively', The Egyptian Journal of Plastic and Reconstructive Surgery, 49(2), pp. 149-157. doi: 10.21608/ejprs.2025.425150
Wahdan, W., Sobhy, A., Seddik, M., Ismail, K. Comparative Study between the Supra-Scarpa’s and The Supra-Fascial Planes of Dissection in Abdominoplasty Procedures, in the Incidence of Seroma Formation Postoperatively. The Egyptian Journal of Plastic and Reconstructive Surgery, 2025; 49(2): 149-157. doi: 10.21608/ejprs.2025.425150
Comparative Study between the Supra-Scarpa’s and The Supra-Fascial Planes of Dissection in Abdominoplasty Procedures, in the Incidence of Seroma Formation Postoperatively
The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Cairo University
Abstract
Background: As with any surgical procedure, abdominoplasty has been related to risks and complications, primarily seroma formation. Two of the popular modifications aiming to prevent seroma are: (1) Protection of the Scarpa’s fascia; using a supra Scarpa’s plane. (2) Placement of quilting sutures. Objective: The aim of this research is to compare the incidence of abdominoplasty associated seroma formation; when using the supra-Scarpa’s plane; and using the conventional supra-fascial pre-muscular plane with and without placement of quilting sutures. Methods: In our randomized controlled comparative study, 30 patients underwent traditional abdominoplasty surgery, split into 3 groups. The 1st group A, containing 10 studied cases, was performed using the supra Scarpa’s plane. The other two groups, B and C, were done using the classic supra fascial premuscular plane, where group B, comprising 10 patients, quilting sutures were placed; and group C, comprising 10 Patients were used as a control group. All studied cases had been fitted with 2 abdominal drains. Postoperative seroma diagnosis had been confirmed with clinical signs and symptoms, along with the net exudate collected in the drains. Results: There is a positive correlation to the lower incidence of seroma in Scarpa’s fascia preservation abdominoplasty and placement of quilting sutures in abdominoplasty than the traditional, while the comparison between the effectiveness of each of the two modifications has come out insignificant. Conclusions: Using either of the two modifications is effective in decreasing the incidence of seroma formation in comparison Using the classic technique.
1- Peter A., Kreymerman, Raymond Isakov M.Z. Siemionow and M.E. Isenmann Klein: Plastic and Reconstructive Surgery, 645. 2- Jeroen H., Uchelen J.H., Werker P.M. and Kin M.: Complications of abdominoplasty in 86 patients, Plast. Reconstr. Surgery, 107: 186. 3- Costa-Ferreira A., Rebelo M., Silva A., Vasconez L.O. and Amarante J.: Scarpa fascia preservation during abdominoplasty: Randomized clinical study of efficacy and safety. Plast. Reconstr. Surg., 131 (3): 644–51, 2013. 4- KHAN U.D.: Risk of seroma with simultaneous liposuction and abdominoplasty and the role of progressive tension sutures. Aesthetic Plast. Surg., 32: 93–99, 2008. 5- Najera R.M., Asheld W., Sayeed S.M. and Glickman L.T.: Comparison of seroma formation following abdominoplasty with or without liposuction. Plast. Reconstr. Surg., 127 (1): 417-22, 2011. 6- Pollock T. and Pollock H.: Progressive tension sutures in abdominoplasty: A review of 597 consecutive cases. Aesthet. Surg. J., 32: 729-42, 2012. 7- Rahal A., Alboudi S., Alhilbawi M. and Alhassanieh A.: A Comparison between Supra-Scarpa’s Fascia Abdominoplasty and Traditional Abdominoplasty: Effect of Caesarian Section 2021. 8- El Wakeel H., Abouarab M., and Kholosy H.: Scarpa Fascia versus Rectus Sheath Plane in Lipoabdominoplasty Flap Dissection: Comparative Study. The Egyptian Journal of Plastic and Reconstructive Surgery, 45 (3): 113-119, 2021. 9- Shahin M., Hagag M. and El-Meligy M.: Outcome after Preservation of Scarpa’s fascia in abdominoplasty. The Egyptian Journal of Surgery, 37 (2): 260264, 2018. 10- Ali A., Elbarbary A., Farag M. and Saleh M.A.: Technical Considerations in Abdominoplasty of Huge Abdomen. The American Journal of Cosmetic Surgery, 29 (4): 252-259, 2012. 11- Hammad A. and Aliyev V.: BAOJ Surgery, 2017. 12- Koller M. and Hintringer T.: Scarpa fascia or rectus fascia in abdominoplasty flap elevation: A prospective clinical trial. Aesthetic Plastic Surgery, 36: 241243, 2012. 13- Ardehali B. and Fiorentino F.: A meta-analysis of the effects of abdominoplasty modifications on the incidence of postoperative seroma. Aesthetic Surgery Journal, 37 (10): 1136-1143, 2017.
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