Comparative Study between the Supra-Scarpa’s and The Supra-Fascial Planes of Dissection in Abdominoplasty Procedures, in the Incidence of Seroma Formation Postoperatively

Document Type : Original Article

Authors

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.

Keywords

Main Subjects

References

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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