Resumo

MUNOZ I VIDAL, J. et al. Multifunctional anchor shaping abdominoplasty: Our experience and new managing of the pacient without weight loss. Cir. plást. iberolatinoam. [online]. 2010, vol.36, n.4, pp.287-304. ISSN 1989-2055.

Multifunctional anchor dermolipectomy has been a proved effective technique in the treatment of body contouring in patients who have suffered great loss of weight. Currently, in Spanish public health system, are not uncommon for the plastic surgeon patients who have not lost enough weight, and beyond any body contour procedure require repair of the abdominal wall. As other authors describe, reconstructive procedures of the abdominal wall can be practised with a simultaneous approach of body contour, resulting in a patients´ functional improvement and better quality of life. We present our experience with this dermolipectomy pattern in 32 cases and we show our managing of 3 patients with no weight loss. The large intrabdominal volume, visceral and fatty in these patients without weight loss, involves complications that may result in alterations of the container-contained relationship after major abdominal surgery. The most common ones are suture dehiscence, flap necrosis, respiratory failure or stress closure that ultimately may result in an intra-abdominal compartimental syndrome. Respiratory fisiotherapy and preoperative chest physiotherapy, suprapubic flap design to prevent the closure stress or non-stripping of the flaps and the measure of the stimative intraoperative intra-abdominal pressure can extend indication of this abdominoplasty pattern in patients in which there has been no thinning.

Palavras-chave : Abdominiplasty; Anchor shaping; Abdominoplasty Body Countouring.

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