Modification of Rectal Myofascial Repair in Abdominoplasty for Patients with Widely Divaricated Recti

Hassan, Medhat S

doi:10.21608/ejprs.2020.68215

Modification of Rectal Myofascial Repair in Abdominoplasty for Patients with Widely Divaricated Recti

Document Type : Original Article

Author

Medhat S Hassan

The Department of Plastic, Reconstructive & Burn Surgery, Faculty of Medicine, Menoufia University, Egypt

10.21608/ejprs.2020.68215

Abstract

Background: To gain the best aesthetic outcome after
abdominoplasty for patients with weak abdominal wall muscles
has been the ultimate goal for plastic surgeons and patients.
Myofascial repair is one of the modern techniques to have a
flat abdomen and a perfect waist with accepted rehabilitative
outcome. But as any technique, it has its benefits and drawbacks.
Aim of the Study: This study aims to document and evaluate
the durability of modified myofascial repair as a method for
musculoapneurotic reconstruction in abdominoplasty for
patients with moderate to severe weak lax abdomen.
Patients and Methods: Thirteen patients were included
in this study for the purpose of performing abdominoplasty
to treat weak lax abdomen over the period of 2 years from
January 2017 to February 2019. Follow-up period for each
case was at least 6 months for the functional outcome and
patient satisfaction.
Results: Changes in spirometry values before and after
operation were recorded and tolerated by all patients. Waist
measures taken before and after operation showed great
improvement. Patients satisfaction was extremely high and
there were no evidences for secondary hernias.
Conclusion: Myofacial repair modification is a durable
method to gain a good aesthetic and functional output in
abdominoplasty for patients with severe abdominal laxity.

Keywords

Main Subjects

Aesthetics

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