<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922020000100003</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922020000100003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[TULUA: lipoabdominoplastia de plicatura transversa sin despegamiento supraumbilical. Serie de 176 pacientes]]></article-title>
<article-title xml:lang="en"><![CDATA[TULUA: transverse plication lipoabdominoplasty without supra-umbilical flap detachment. A series of 176 patients]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villegas Alzate]]></surname>
<given-names><![CDATA[Francisco Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica San Francisco  ]]></institution>
<addr-line><![CDATA[Tuluá Valle]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad del Valle (Univalle&gt;  ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Central del Valle (UCEVA)  ]]></institution>
<addr-line><![CDATA[Tuluá Valle]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>46</volume>
<numero>1</numero>
<fpage>7</fpage>
<lpage>21</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922020000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922020000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922020000100003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo Desde 2005 el autor ha realizado una lipoabdominoplastia fundamentalmente diferente para evitar complicaciones como necrosis, dehiscencia, redundancia epigástrica, cicatriz alta, mala posición del ombligo y seromas. Las modificaciones son: 1- liposucción sin restricción, 2- no despegamiento del colgajo epigástrico, 3- amputación umbilical, 4- plicatura transversal inferior de la pared abdominal, 5- neoumbilicoplastia con injerto de piel en la posición ideal y 6- ubicación baja de la cicatriz transversal (TULUA). El objetivo del presente trabajo es recoger una serie de casuística, resaltando algunos detalles técnicos y valorando resultados.  Material y método Presentación de una serie de 176 pacientes con detalles de técnica y estadísticas descriptivas, cuantificando resultados con énfasis en la posición de cicatriz y ombligo y su proporción, lo mismo que el resultado de la cintura y epigastrio. Comparamos estadísticamente los cambios de la cintura y la disminución de la tensión necesaria para el cierre de la herida quirúrgica atribuidos a la plicatura transversa.  Resultados Los resultados estéticos fueron cuantificados en 9.4 según escala (0-10). Globalmente el porcentaje de complicaciones fue de 18.7%, la mayoría debidas a problemas con la integración del injerto del ombligo. Resaltar que solo una paciente presentó necrosis distal del colgajo y otra dehiscencia parcial de la herida. Encontramos diferencias estadísticas en la disminución de la tensión para el cierre de herida quirúrgica y cambios en la circunferencia de la cintura (p=0.001)  Conclusiones Los resultados estéticos cuantificados fueron altos con ventajas adicionales en términos de seguridad vascular, disminución de tensión de la herida, buena posición y calidad del ombligo, ubicación baja de la cicatriz transversal, disminución del perímetro de la cintura y corrección del epigastrio. Se trata de una técnica simple y segura que incrementa las indicaciones de abdominoplastia a un grupo más amplio de pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and objective Since 2005 the author has performed a fundamentally different lipoabdominoplasty to avoid complications such as necrosis, dehiscence, epigastric redundancy, high scar, bad position of the umbilicus and seromas. The modifications are: 1- unrestricted liposuction, 2- no detachment of the epigastric flap, 3- umbilical amputation, 4- lower transverse plication of the abdominal wall, 5- neoumbilicoplasty with skin graft in the ideal position and 6- low location of the transverse scar. In this paper, we collect a large clinical serie, marking some technical aspects and evaluating the results.  Methods A series of 176 patients with technical details and descriptive statistics is presented, measuring results with emphasis on scar and umbilicus positioning and their proportion, as well as the result of changes in waistline and epigastrium. Changes in the waist perimeter and reduction of the tension necessary for closure of the surgical wound, attributed to the transverse plication, were statistically compared.  Results The aesthetic results were quantified in 9.4 according to a scale (0-10). Overall, the complications were 18.7%, most of them due to incomplete graft take or delayed healing of the neoumbilicus. It was remarkably that only 1 patient presented with distal necrosis of the flap and another with partial dehiscence of the wound. Statistical differences were found in the decrease in tension for surgical wound closure and changes in waist circumference (p=0.001).  Conclusions Quantified aesthetic results were high with additional advantages in terms of vascular safety, decreased wound tension, good position and quality of the umbilicus, low transverse scar location, decreased waistline and epigastric bulge correction. This technique can be simpler and safer, increasing abdominoplasty indications to a larger group of patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Abdominoplastia]]></kwd>
<kwd lng="es"><![CDATA[Lipoabdominoplastía]]></kwd>
<kwd lng="es"><![CDATA[Pared abdominal]]></kwd>
<kwd lng="es"><![CDATA[Músculos abdominales]]></kwd>
<kwd lng="es"><![CDATA[Ombligo]]></kwd>
<kwd lng="en"><![CDATA[Abdominoplasty]]></kwd>
<kwd lng="en"><![CDATA[Lipoabdominoplasty]]></kwd>
<kwd lng="en"><![CDATA[Abdominal wall]]></kwd>
<kwd lng="en"><![CDATA[Abdominal muscles]]></kwd>
<kwd lng="en"><![CDATA[Umbilicus]]></kwd>
</kwd-group>
</article-meta>
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